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Postgraduate Medical Journal 1999;75:32-34; doi:10.1136/pgmj.75.879.32
Copyright © 1999 The Fellowship of Postgraduate Medicine.
Postgrad Med J 1999;75:32-34 ( January )

Short report

Hyponatraemia and seizures after ecstasy use Simon B Holmes, Anindo K Banerjee, William D Alexander

Department of Medicine, Queen Mary's Hospital, Frognal Avenue, Sidcup DA14 6LT, UK

Correspondence to: AK Banerjee, Department of Medicine, Bromley Hospital, Cromwell Avenue, Bromley, Kent BR2 9AJ, UK

Accepted 22 July 1998

A patient presented to our unit with seizures and profound hyponatraemia after ingestion of a single tablet of ecstasy. The seizures proved resistant to therapy and ventilation on the intensive care unit was required. Resolution of the seizures occurred on correction of the metabolic abnormalities. The pathogenesis of seizures and hyponatraemia after ecstasy use is discussed. Ecstasy use should be considered in any young patient presenting with unexplained seizures and attention should be directed towards electrolyte levels, particularly sodium.


Keywords: ecstasy; seizures; hyponatraemia

© 1999 by The Fellowship of Postgraduate Medicine
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