Date of Publication :17th December 2024

Abstract: The consumption of alcohol plays a significant role in various diseases, injuries, and health conditions. The burden of alcohol-related diseases and injuries can be assessed based on scientific evidence that highlights alcohol's involvement in their cause, occurrence, and consequences. One condition, known as alcohol potomania, is characterized by hyponatremia resulting from excessive alcohol consumption—especially beer—combined with poor dietary intake. This syndrome requires increased awareness among the population and demands immediate medical attention. Chronic hyponatremia, a common electrolyte imbalance seen in elderly pati ents, is linked to brain function and significantly affects a patient’s ability to live a healthy, independent life. We present a case involving an elderly patient who initially collapsed and was found to have hyponatremia, despite having no significant past medical history. The patient had a habit of excessive beer consumption and poor dietary habits due to their occupation. Over the years, the patient experienced recurrent hospital admissions due to falls caused by an unsteady gait and balance issues. In a short span, the patient demonstrated a rapid decline in mobility, transitioning from using a walking stick to requiring a wheelchair. Neurologically, the patient exhibited progressive deterioration, including chronic hyponatremia, increased rigidity in both upper limbs, visual changes, dysphonia, square wave jerks, restricted eye movements, and cognitive impairments. Initially, the diagnosis of Parkinson's disease was made, and the patient was treated with levodopa; however, their neurological condition continued to worsen. Eventually, the patient was diagnosed with Progressive Supranuclear Palsy (PSP) and was managed with a high dose of dopaminergic medication to control symptoms. The evaluation and management of this complex case involve a multidisciplinary team that includes both community and tertiary care. Awareness campaigns, education, and early recognition of alcohol potomania would greatly benefit both the population and healthcare systems.

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