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Case Rep Emerg Med. 2012;2012:342760. doi: 10.1155/2012/342760. Epub 2012 May 31.

Marathon runner with acute hyponatremia: a neurological disorder.

Case reports in emergency medicine

R Kormann, F Philippart, S Hubert, C Bruel

Affiliations

  1. Internal Medicine, Groupe Hospitalier Paris Saint Joseph, 75014 Paris, France.

PMID: 23326709 PMCID: PMC3542923 DOI: 10.1155/2012/342760

Abstract

We report the case of an athletic 49-year-old female who has run the 2011 Marathon of Paris and was addressed to the hospital for a confusion. The investigations revealed a cerebral edema complicating a severe hyponatremia secondary to an exercise-associated hyponatremia (EAH). Using 3% hypertonic saline solution, the evolution the patient rapidly improve allowing discharge after 7 days. We then discuss the importance of EAH in long-term efforts.

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