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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
Case Reports[Serious complications following a marathon run: interactive case report of a dramatic course].
- Rüdiger Spormann, Markus Stuhr, Joachim Röther, Klaus Püschel, and Florian Reifferscheid.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2012 Nov 1;47(11-12):696-702.
AbstractA marathon runner collapses after crossing the finish line and shows neurological disorders. Aftertreatment at the scene hyponatremia and cerebral edema are found at hospital admission. Thepatient is treated for "exercise-associated hyponatremia" (EAH) on the ICU for six days. This raredisease occurs following endurance exercise and is based on an acute dilutionalhyponatremia.Symptoms include nausea and vomiting, desorientation, dizziness, seizures or coma. Therapyincludes fluid restriction and application of hypertonic saline. Plasma sodium concentration shouldbe checked at the scene in all collapsed athletes showing neurological symptoms to differentiatebetween exercise-associated hyponatremia and dehydration.© Georg Thieme Verlag Stuttgart · New York.
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