Acute Salt Poisoning Leading to Subarachnoid Hemorrhage: A Case Report
A 51-year-old man developed severe hypernatremia (171 mEq/L) and a nonaneurysmal subarachnoid hemorrhage after ingesting 1 L of soy sauce. Rapid, controlled correction of serum sodium using 5% dextrose, while avoiding hyperglycemia, led to a full neurological recovery. This case demonstrates that a favorable outcome is possible in salt poisoning-induced intracranial hemorrhage.
Authors
- Hiromu Naraba (ORCID: https://orcid.org/0000-0002-5663-2213)
- Takumi Akiyama
- Yoshito Kamijo (ORCID: https://orcid.org/0000-0003-0326-6165)
- Ichiro Hirayama (ORCID: https://orcid.org/0000-0002-8811-4752)
- Tatsuhiko Hayashi
Institutions
- National Hospital Organization (JP)
- National Hospital Organization Saitama Hospital
- Saitama Medical University (JP)
Publication Details
- Journal
- Clinical Case Reports
- Published
- 2025-11-01
- DOI
- https://doi.org/10.1002/ccr3.71472
- Primary Topic
- Electrolyte and hormonal disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00