Marathon related death due to brainstem herniation in rehydration-related hyponatraemia: a case report
2007

Marathon Runner's Death Due to Brain Issues from Rehydration

publication Evidence: low

Author Information

Author(s): Axel Petzold, Geoffrey Keir, Ian Appleby

Primary Institution: The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK

Hypothesis

Can rehydration-related hyponatraemia lead to brain herniation in marathon runners?

Conclusion

Hyponatraemia is common in marathon runners, and simple tests like funduscopy could help identify those needing urgent neuroimaging.

Supporting Evidence

  • Hyponatraemia occurs in about 13% of marathon runners.
  • The patient had a history of severe headaches prior to the marathon.
  • Funduscopy may help identify athletes needing neuroimaging.

Takeaway

Sometimes, drinking too much water after running can cause serious brain problems, which can be deadly.

Methodology

Case report detailing the clinical presentation, diagnosis, and management of a marathon runner who died from brain herniation after rehydration.

Limitations

The case is based on a single patient, limiting generalizability.

Participant Demographics

A male in his 30s, Caucasian.

Digital Object Identifier (DOI)

10.1186/1752-1947-1-186

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