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Case Reports in Nephrology
Volume 2017 (2017), Article ID 1371804, 4 pages
Case Report

Therapeutic Approach to the Management of Severe Asymptomatic Hyponatremia

Department of Medicine, Montefiore New Rochelle Hospital, Albert Einstein College of Medicine, New Rochelle, NY, USA

Correspondence should be addressed to Thaofiq Ijaiya

Received 24 April 2017; Accepted 2 July 2017; Published 27 July 2017

Academic Editor: Phuong Chi Pham

Copyright © 2017 Thaofiq Ijaiya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Hyponatremia is an electrolyte imbalance encountered commonly in the hospital and ambulatory settings. It can be seen in isolation or present as a complication of other medical conditions. It is therefore a challenge to determine the appropriate therapeutic intervention. An understanding of the etiology is key in instituting the right treatment. Clinicians must not be too hasty to correct a random laboratory value without first understanding the physiologic principle. We present such a case of a patient who presented with sodium of 98 mmol/L, the lowest recorded in the current literature, and yet was asymptomatic. Following appropriate management driven by an understanding of the underlying pathophysiologic mechanism, the patient was managed to full recovery without any clinically significant neurological sequelae.