Exercise associated hyponatraemia leading to tonic-clonic seizure.

Carl J Reynolds¹, Barbara J Cleaver, Sarah E Finlay

¹Accident and Emergency Department, Chelsea and Westminster Hospital, London, UK. c.reynolds@nym.hush.com

Abstract

A 34-year-old Filipino lady presented to the emergency department with breathlessness and muscle cramping following a Bikram yoga workout. The patient reported sweating excessively while performing 90 min of strenuous exertion in a humidified room heated to an ambient temperature of 40.6°C. After the workout she drank 3.5 litres of water before experiencing breathlessness, severe muscle cramps, na…

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