Hyponatremia-Induced Seizure in a Patient With Psychogenic Polydipsia: A Case Report

Psychogenic polydipsia remains poorly understood in clinical settings. It is often associated with psychiatric conditions like schizophrenia. Prior research has shown that excessive water intake can disrupt electrolyte balance. Hyponatremia is a known complication in such cases. However, the link between psychogenic polydipsia and acute neurological events like seizures is underreported. No prior work had resolved the effectiveness of behavioral interventions in this context. This gap motivated further exploration of treatment strategies. That uncertainty drove the need for a case-based analysis. This paper contributes new insights on managing high-risk patients with this condition.

This case report aimed to document a rare clinical scenario involving psychogenic polydipsia and seizure. The specific problem was the lack of detailed treatment outcomes for such cases. The motivation stemmed from the patient's severe hyponatremia and neurological symptoms. The authors sought to evaluate the effectiveness of behavioral therapy in this context. They also aimed to emphasize the importance of psychological assessment in diagnosis. The study's goal was to provide a practical example for clinicians. It sought to highlight the urgency of early intervention. The report serves as a reference for managing similar high-risk cases.

The authors described a 16-year-old patient presenting with a seizure. The patient's history included psychogenic polydipsia and delusional disorder. Clinical evaluation confirmed severe hyponatremia as the seizure cause. The patient was stabilized through medical intervention. A psychologist was involved for behavioral therapy. The treatment plan included self-monitoring techniques. Follow-up assessments tracked water intake reduction. The case was analyzed for psychological and medical outcomes.

The patient's water intake decreased from 15 liters to 3 liters per day. Behavioral therapy and self-monitoring were effective in controlling symptoms. The patient showed no further seizure episodes post-treatment. Psychological assessment identified the root cause of polydipsia. The treatment plan was implemented within 24 hours of admission. No adverse effects were reported during therapy. The patient's electrolyte levels normalized over time. The case demonstrated successful multidisciplinary management.

The authors emphasized the importance of psychological evaluation in diagnosing this condition. They proposed that behavioral therapy can be an effective treatment option. The case suggests that early admission is crucial for high-risk patients. The report highlights the value of self-monitoring techniques. It also suggests that psychiatric comorbidities must be addressed. The authors did not claim this approach is essential for all cases. They proposed that prompt treatment prevents life-threatening complications. The findings may guide future management strategies for similar patients.