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Etiology and management of exercise-associated hyponatremic encephalopathy (EAHE)

Published:March 20, 2014DOI:https://doi.org/10.1016/j.ajem.2014.02.049
      The case report of Severac et al [

      Severac M, Orban JC, Leplatois T, et al. A case of near-fatal exercise-associated hyponatremia. Am J Emerg Med (2014). http://dx.doi.org/10.1016/j.ajem.2013.12.041.

      ] describing a case of exercise-associated hyponatremic encephalopathy (EAHE) brings to the reader's attention a condition that is considered one of the most important clinical problems in endurance exercise [
      • Hew-Butler T.
      • Ayus J.C.
      • Kipps C.
      • et al.
      Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007.
      ]. There is now a broad consensus as to the common underlying pathophysiologic process in this condition [
      • Hew-Butler T.
      • Ayus J.C.
      • Kipps C.
      • et al.
      Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007.
      ,
      • Rosner M.H.
      Exercise-associated hyponatremia.
      ,
      • Noakes T.D.
      • Sharwood K.
      • Speedy D.
      • et al.
      Three independent biological mechanisms cause exercise-associated hyponatremia: evidence from 2,135 weighed competitive athletic performances.
      ,
      • Bennett B.L.
      • Hew-Butler T.
      • Hoffman M.D.
      • et al.
      Wilderness Medical Society practice guidelines for treatment of exercise-associated hyponatremia.
      ] and to the most appropriate diagnostic and treatment strategies [
      • Hew-Butler T.
      • Ayus J.C.
      • Kipps C.
      • et al.
      Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007.
      ,
      • Bennett B.L.
      • Hew-Butler T.
      • Hoffman M.D.
      • et al.
      Wilderness Medical Society practice guidelines for treatment of exercise-associated hyponatremia.
      ].
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      References

      1. Severac M, Orban JC, Leplatois T, et al. A case of near-fatal exercise-associated hyponatremia. Am J Emerg Med (2014). http://dx.doi.org/10.1016/j.ajem.2013.12.041.

        • Hew-Butler T.
        • Ayus J.C.
        • Kipps C.
        • et al.
        Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007.
        Clin J Sport Med. 2008; 18: 111-121
        • Rosner M.H.
        Exercise-associated hyponatremia.
        Semin Nephrol. 2009; 29: 271-281
        • Noakes T.D.
        • Sharwood K.
        • Speedy D.
        • et al.
        Three independent biological mechanisms cause exercise-associated hyponatremia: evidence from 2,135 weighed competitive athletic performances.
        Proc Natl Acad Sci USA. 2005; 102: 18550-18555
        • Bennett B.L.
        • Hew-Butler T.
        • Hoffman M.D.
        • et al.
        Wilderness Medical Society practice guidelines for treatment of exercise-associated hyponatremia.
        Wilderness Environ Med. 2013; 24: 228-240
        • Winger J.M.
        • Hoffman M.D.
        • Hew-Butler T.D.
        • et al.
        The effect of physiology and hydration beliefs on race behaviour and postrace sodium in 161-km ultramarathon finishers.
        Int J Sports Physiol Perform. 2013; 8: 536-541
        • Ayus J.C.
        • Varon J.
        • Arieff A.I.
        Hyponatremia, cerebral edema, and noncardiogenic pulmonary edema in marathon runners.
        Ann Intern Med. 2000; 133: 1010-1011