| Convulsion, Symptomatic Hyponatremia and Paralytic Ileus Following Tonsillectomy: A case report. |
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Il Young Cheong, Eui Cheol Nam, Jun Yeon Won, Sung Yeon Ahn, Ja Kyoung Kim, Seong Sik Kang, Hee Jeong Son, Byeong Moon Hwang |
1Departments of Anesthesiology and Pain Medicine, Kangwon National University Medical School, Chuncheon, Korea. miline66@paran.com
2Departments of Otolaryngology, Kangwon National University Medical School, Chuncheon, Korea.
3Departments of Pediatrics, Kangwon National University Medical School, Chuncheon, Korea. |
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| Abstract |
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Severe symptomatic hyponatremia shows high mortality in association with cerebral edema and central nervous system dysfunction. Postoperative hyponatremia is usually attributed to administration of hypotonic fluids while antidiuretic hormone is acting. However, we experienced a severe symptomatic hyponatremia in spite of infusion of lactated Ringer's solution perioperatively in a case of 4-year-old girl's tonsillectomy. Inappropriate secretion of ADH caused by pain, stress, anxiety, nausea, vomiting.
Paralytic ileus developed several hours after surgery, severe hyponatremia (Na 119 mmol/L) with convulsion notified. After prompt infusion of sodium supplement and fluid restriction, the patient recovered uneventfully. |
| Key Words:
antidiuretic hormone; convulsion; hyponatremia; paralytic ileus; tonsillectomy |
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