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KMID : 1148020140390010032
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조선대학교의대논문집
2014 Volume.39 No. 1 p.32 ~ p.34
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Acute Hyponatremic Encephalopathy after Polyethylene Glycol Bowel Preparation for Colonoscopy
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Paek Jong-Hun
Kim Hyung-Nam
Shin Byung-Chul
Kim Hyun-Lee
Chung Jong-Hoon
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Abstract
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Polyethylene glycol (PEG) solution is currently used to prepare the colon before colonoscopy. Hyponatremic encephalopathyis a condition with neurologic symptoms such as headache, vomiting, confusion, seizure, and sometimes respiratoryarrest. A 55-year-old woman presented to our emergency department with generalized tonic-clonic seizure and mentalchange after ingestion of PEG solution 2 L with water. Serum sodium concentrations was 115 mmol/L. After correction withhypertonic saline for 12hrs, serum sodium concentration reached 129 mmol/L and mental status recovered. We experienceda case of acute hyponatremic encephalopathy resulting from ingestion of PEG solution 2 L for colonoscopy.
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KEYWORD
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Hyponatremia, Colonoscopy, Polyethylene glycol, Encephalopathy
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