Psychogenic Polydipsia Complicated to Hyponatremia Induced Seizure in Schizophrenia: A Case Report from Nepal

Psychogenic polydipsia is one of the common cooccurrences with Schizophrenia and if not addressed can lead to fatal consequences. There are some evidences for pharmacological management of this condition but nonpharmacological management starting from psycho-education to behavioural modification therapy involving family members can be a very effective strategy. We report a case from Nepal where psychogenic polydipsia was complicated to hyponatremia and lead to seizure episodes. We emphasize on asking a routine question about polydipsia in every patient of Schizophrenia in clinics.

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Psychogenic polydipsia and schizophrenia

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.2155 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S581-S581

Author(s):

L. Maroto Martín ◽

P. Hervías Higueras

Keyword(s):

Case Report ◽

Clinical Presentation ◽

Paranoid Schizophrenia ◽

Psychiatric History ◽

Theoretical Discussion ◽

Psychogenic Polydipsia ◽

Common Cause ◽

Specific Diagnosis ◽

The Common ◽

Competing Interest

IntroductionPsychogenic Polydipsia is defined as the desire to drink liquid in big quantities with an inappropriate activation of the mechanisms of thirst without loss of liquid for urine. This disorder is frequent enough and can derive in a water poisoning, a clinical presentation of high mortality.ObjectiveReview of the Psychogenic Polydipsia in patients with schizophrenia and theoretical discussion of a case report.MethodsA case report of a 58-year-old male, admitted in hospital with a clinical presentation of hyponatremia with severe low serum osmolarity secondary to Psychogenic Polydipsia. As psychiatric history he has a diagnosis of Paranoid Schizophrenia for forty years in treatment with Paliperidone 6 mg: 1-0-0, Haloperidol 10 mg: 0-0-0.5, Quetiapina 300 mg: 0-0-1, Trazodona 100 mg: 0-0-1, Ketazolam 30 mg: 0-0-1, Diazepam 10 mg: 0-0-1.DiscussionPsychogenic Polydipsia is not included in any section of current psychiatric classifications as specific diagnosis. There are several psychiatric disorders that may present with psychogenic polydipsia; however, the most common cause appears to be schizophrenia.ConclusionsMechanisms of hyponatremia in patients with schizophrenia are not well clarified; nevertheless, dopamine seems to be the common link between psychogenic polydipsia and schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Intimal sarcoma arising from the common iliac artery presenting with artery occlusion : a case report and literature review

The Journal of Medical Investigation ◽

10.2152/jmi.66.205 ◽

2019 ◽

Vol 66 (1.2) ◽

pp. 205-208 ◽

Cited By ~ 3

Author(s):

Masashi Kano ◽

Toshihiko Nishisho ◽

Ryo Miyagi ◽

Fumio Chikugo ◽

Eiji Kudo ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Iliac Artery ◽

Common Iliac Artery ◽

Artery Occlusion ◽

Intimal Sarcoma ◽

The Common

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Hemoglobin Q-Iran detected in family members from Northern Iran: a case report

Journal of Medical Case Reports ◽

10.1186/1752-1947-6-47 ◽

2012 ◽

Vol 6 (1) ◽

Author(s):

Mohammad Khorshidi ◽

Payam Roshan ◽

Nooshin Bayat ◽

Mohammad Reza Mahdavi ◽

Hossein Najmabadi

Keyword(s):

Case Report ◽

Family Members ◽

Northern Iran

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False aneurysm of the common digital artery. Is reconstruction with an arterial graft worth the efforts? A case report

Microsurgery ◽

10.1002/micr.20872 ◽

2011 ◽

Vol 31 (3) ◽

pp. 246-250 ◽

Cited By ~ 5

Author(s):

Stefano Lucchina ◽

Alexandru Nistor ◽

Hans Stricker ◽

Cesare Fusetti

Keyword(s):

Case Report ◽

False Aneurysm ◽

Arterial Graft ◽

Digital Artery ◽

The Common

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Experience of the pancreas duodenectomy for so-called carcinosarcoma of the common bile duct:a case report and review of literature

International Cancer Conference Journal ◽

10.1007/s13691-020-00462-y ◽

2021 ◽

Author(s):

Suguru Sasamoto ◽

Takeshi Aoki ◽

Yoshihiko Tashiro ◽

Kazuhiro Matsuda ◽

Tomotake Koizumi ◽

...

Keyword(s):

Case Report ◽

Review Of Literature ◽

The Common

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Covid-19 And Sudden Death with Pulmonary Manifestations- A Case Report

International Journal of Forensic Research ◽

10.33140/ijfr.02.01.01 ◽

2021 ◽

Vol 2 (1) ◽

Keyword(s):

Case Report ◽

Severe Acute Respiratory Syndrome ◽

Sudden Death ◽

Common Cold ◽

Respiratory Symptoms ◽

Transmission Dynamics ◽

Pulmonary Manifestations ◽

The Family ◽

The Common ◽

Virus Strains

Covid 19 being a pandemic has uniformly and bizarrely affected the globe in a most unpredictable manner. So it becomes very important to unravel the transmission dynamics and the effect of the virus which has made it a deadly virus so far. Covid 19 is a member of coronavirus family, which also includes the SARS virus (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Symptoms) virus. The family of Coronavirus includes virus strains that the common cold and flu are caused [1].

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A Case Report of Ascariasis of the Common Bile Duct in a Patient Who Had Undergone Cholecystectomy

Archives of Pathology & Laboratory Medicine ◽

10.5858/2000-124-1231-acroao ◽

2000 ◽

Vol 124 (8) ◽

pp. 1231-1232

Author(s):

Glenda Amog ◽

Jeffrey Lichtenstein ◽

Steven Sieber ◽

Hani El-Fanek

Keyword(s):

Case Report ◽

Bile Duct ◽

Common Bile Duct ◽

Epigastric Pain ◽

Pancreatic Neoplasm ◽

Ultrasound Finding ◽

Laboratory Findings ◽

Live Worm ◽

Endoscopic Extraction ◽

The Common

Abstract This is a case report of ascariasis of the common bile duct in a 65-year-old man from Colombia who had undergone prior cholecystectomy. The patient presented with postprandial epigastric pain and a 20-lb weight loss. The laboratory findings were remarkable for peripheral blood eosinophilia. The ultrasound finding was suggestive of periampullary or pancreatic neoplasm. He underwent endoscopic retrograde cholangiopancreatography with endoscopic extraction of a motile, live worm identified as Ascaris lumbricoides. Roundworm infestation should always be suspected in immigrants from endemic areas who present with hepatobiliary symptoms.

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