E-ISSN 2534-9821
 

Case Report 


Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report

I Gusti Agung Gede Ariswanda, Tommy Sarongku, Sri Yenni Trisnawati GS, DPG Purwa Samatra, I Putu Eka Widyadharma.

Abstract
Empty sella syndrome is a neuroendocrine disorder rarely in population. Often occurred with a female : male = 4:1, in middle age, and obesity.
Report : We present a case of a 27-year-old male, short structure, BMI 20,4 kg/m2, undecending testes. He was diagnosed with epilepsy symptomatic. The first symptoms occurred when he was 25 years old with general-tonic clonic pattern, blood test were showed normal only found low hyponatremia, brain MRI and EEG were abnormal. Unfortunaley, his seizure was not relieved with medical management, phenytoin for 2 years. Prolong seizure occurred, he had status epilepticus. Brain MRI showed empty sella, moderate enchepalopaty with EEG, serial severe hyponatremia (105 mEq/L), and loss sodium urine. Subsequently, seizure relieves controlled with normal sodium level by mineralcorticoid drug

Key words: Short stucture, undescending testes, severe hyponatremia, seizure


 
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How to Cite this Article
Pubmed Style

Ariswanda IGAG, Sarongku T, GS SYT, Samatra DP, Widyadharma IPE. Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report. Int J Med Rev Case Rep. 2019; 3(4): 180-182. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome


Web Style

Ariswanda IGAG, Sarongku T, GS SYT, Samatra DP, Widyadharma IPE. Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report. http://mdpub.net/?mno=30552 [Access: May 27, 2019]. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome


AMA (American Medical Association) Style

Ariswanda IGAG, Sarongku T, GS SYT, Samatra DP, Widyadharma IPE. Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report. Int J Med Rev Case Rep. 2019; 3(4): 180-182. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome



Vancouver/ICMJE Style

Ariswanda IGAG, Sarongku T, GS SYT, Samatra DP, Widyadharma IPE. Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report. Int J Med Rev Case Rep. (2019), [cited May 27, 2019]; 3(4): 180-182. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome



Harvard Style

Ariswanda, I. G. A. G., Sarongku, . T., GS, . S. Y. T., Samatra, . D. P. & Widyadharma, . I. P. E. (2019) Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report. Int J Med Rev Case Rep, 3 (4), 180-182. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome



Turabian Style

Ariswanda, I Gusti Agung Gede, Tommy Sarongku, Sri Yenni Trisnawati GS, DPG Purwa Samatra, and I Putu Eka Widyadharma. 2019. Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report. International Journal of Medical Reviews and Case Reports, 3 (4), 180-182. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome



Chicago Style

Ariswanda, I Gusti Agung Gede, Tommy Sarongku, Sri Yenni Trisnawati GS, DPG Purwa Samatra, and I Putu Eka Widyadharma. "Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report." International Journal of Medical Reviews and Case Reports 3 (2019), 180-182. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome



MLA (The Modern Language Association) Style

Ariswanda, I Gusti Agung Gede, Tommy Sarongku, Sri Yenni Trisnawati GS, DPG Purwa Samatra, and I Putu Eka Widyadharma. "Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report." International Journal of Medical Reviews and Case Reports 3.4 (2019), 180-182. Print. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome



APA (American Psychological Association) Style

Ariswanda, I. G. A. G., Sarongku, . T., GS, . S. Y. T., Samatra, . D. P. & Widyadharma, . I. P. E. (2019) Refractory epilepsy and recurring hyponatremia are leading in Primary Empty Sella Syndrome A case report. International Journal of Medical Reviews and Case Reports, 3 (4), 180-182. doi:10.5455/IJMRCR.Primary-Empty-Sella-Syndrome