A grand mal seizure occurred in a young woman in the weight gain phase of treatment of anorexia nervosa. The etiology of this seizure is explored and suggestions are made for the avoidance of this potential hazard in behavioural reward programs based on contingent weight gain.
References
1.
DallyP., ConnollyJ.An introduction to physical methods of treatment in psychiatry, 6th ed.London: Churchill Livingstone, 1981: 119.
2.
GarfieldP.E., GarnerD.M.Anorexia nervosa — a multidimensional perspective.New York: Brunner/Mazel,1982: 312.
3.
BerlT., ChaimovitzC.The control of renal water excretion. In: MassryS.G., GlassockR.J., eds. Textbook of nephrology.Baltimore and London: Williams & Wilkins, 1983.
4.
JoseC.J., MehtaS., Perez-CruetJ.The syndrome of inappropriate secretion of antidiuretic hormone. An overview.Can J Psychiatry1979; 24: 225–231.
5.
RaskindM.A., OrensteinH., ChristopherT.G.Acute psychosis, increased water ingestion and inappropriate antidiuretic hormone secretion.Am J Psychiatry1975; 132: 907–910.
6.
JoseC.J., EvensonR.C.Antecedents of self-induced water intoxication. A preliminary report.J Nerv Ment Dis1980; 168: 498–500.
7.
TildesleyH.D., TothE., CrockfordP.M.Syndrome of inappropriate secretion of antidiuretic hormone in association with chlorpromazine ingestion.Can J Psychiatry1983; 28: 487–488.
8.
RussellG.F.M., BruceJ.T.Impaired water diuresis in patients with anorexia nervosa.Am J Med1966; 40: 38–48.
9.
BoschJ.P., SaccaggiA.Renal function reserve in humans. Effects of protein intake on G.F.R.Am J Med1983; 75: 943–950.
10.
ImaiM., KokkoJ.P.NaCl, urea and H2O transport in the tin ascending limb of Henle: Generation of osmotic gradients by passive diffusion solutes.J Clin Invest1974; 53: 393–402.
