nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2014-1S-45-47nnp-413Research ArticleCLINICAL OBSERVATIONSКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯSeizures Caused by Water-Electrolyte Imbalance and Epilepsy: Diagnosis and Therapy ProblemsСудороги, обусловленные водно-электролитным дисбалансом, и эпилепсия. Проблемы диагностики и терапииРудаковаИ. Г.RudakovaI. G.i.g.rudakova@yandex.ruБеловаЮ. А.BelovaYu. A.КельН. В.Kel’N. V.АлаковаМ. В.AlakovaM. V.ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского», МоскваРоссияM.F. Vladimirskiy Moscow Regional Clinical Research Institute, MoscowRussian Federation20140907201461SSpecial issue "Epilepsy"4547Copyright © Rudakova I.G., Belova Y.A., Kel’ N.V., Alakova M.V., 20142014Рудакова И.Г., Белова Ю.А., Кель Н.В., Алакова М.В.Rudakova I.G., Belova Y.A., Kel’ N.V., Alakova M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/413

Water-electrolyte homeostasis disorders (WEHD) are considered in two aspects: as a possible factor for inducing acute symptomatic seizures in WEHD patients and as a factor of disorder destabilizing in epilepsy patients. Etiological systematization of WEHD is presented. The fea- tures of brain injury, neurological disorders, and long-term prognosis in patients with acute hyponatremia are discussed. The diagnosis and therapy problems in patients with water-electrolyte homeostasis disorders are analyzed; a clinical case is reported. 

Нарушения водно-электролитного гомеостаза рассмотрены в двух аспектах: как возможный фактор провокации острых сим- птоматических судорог у больных с декомпенсацией водно-электролитного гемостаза и как фактор дестабилизации заболевания у пациентов с эпилепсией. Представлена этиологическая систематизация нарушений водно-электролитного гемостаза. Обсуж- даются особенности повреждения головного мозга, неврологические нарушения и их долгосрочный прогноз при острой гипонатри- емии. Проанализированы диагностические и терапевтические проблемы при нарушениях водно-электролитного гемостаза, при- ведено клиническое наблюдение. 

эпилепсияводно-электролитный гемостазострые симптоматические судорогигипонатриемия.epilepsywater-electrolyte hemostasisacute symptomatic seizureshyponatremia.ReferencesGarcia-Alvarez M, Nordli DR, De Vivo DC. Inherited metabolic disorders. In: Engel J, Pedley TA, editors. Epilepsy: a Comprehensive Textbook. Philadelphia: Lippincott–Raven; 1998. P. 2547–62.Garcia-Alvarez M, Nordli DR, De Vivo DC. Inherited metabolic disorders. In: Engel J, Pedley TA, editors. Epilepsy: a Comprehensive Textbook. Philadelphia: Lippincott–Raven; 1998. P. 2547–62.Schachter SC, Lopez MR. Metabolic disorders. In: Ettinger AB, Devinsky O, editors. Managing epilepsy and co-existing disorders. Boston: Butterworth-Heinemann; 2002. P. 195–208.Schachter SC, Lopez MR. Metabolic disorders. In: Ettinger AB, Devinsky O, editors. Managing epilepsy and co-existing disorders. Boston: Butterworth-Heinemann; 2002. P. 195–208.Gilmore RL. Seizures associated with non-neu- rologic medical conditions. In: Wyllie E, editor. 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The authors declare that there are no conflicts of interest present.