BACKGROUNDElectrolyte metabolism and its pathological alteration in relation to clinical features is subject of modern interest. There are four major cations in the body namely sodium, potassium, calcium and magnesium; first three cations have been extensively studied but studies concerning magnesium metabolism have lagged in words of Peter and Vanslyke [1931] 9 ; so far no clinical significance has been attached to changes in magnesium metabolism due to the fact that Meltzer and Aner [1905] 8 demonstrated that raising the blood magnesium gives rise to coma and that Kruse et al [1932] 6 produced a form of tetany by inducing magnesium deficiency. It is possible that magnesium imbalance may be playing a greater role in clinical medicine than has been suspected heretofore. There are conflicting report in literature concerning serum magnesium in chronic renal diseases, Huschfelder and Haury [1934], Marti et al [1952] and Boutwell [1961] found hypomagnesaemia, while Predhan et al [1961] and numerous others works found definite hypermagnesaemia in chronic renal disease. Pathophysiology of certain symptoms in uraemia remains a mystery. It is generally regarded that end products of metabolism accumulate lead to depression of central nervous system. If in cases of renal diseases without uraemia, when magnesium is given to the patient, depression of central nervous system is produced, Hirschfelder 1934, 4 which suggest that increase in serum magnesium may explain the nervous depression in uraemia patients. Engbaek [1952] and Cantarow [1959] stated that rise in serum magnesium is associated with the depression of central nervous system. These workers and others who found hypermagnesaemia in chronic renal disease found relationship with central nervous system depression in renal uraemia. The aims of this study are, 1. To find out the co-relationship of serum magnesium and blood urea in patients suffering from various types of kidney diseases. 2. To correlate the serum magnesium level with the depression of central nervous system if possible. 3. To find out the prognostic significance of serum magnesium level in cases wherever possible. 4. To find out the co-relationship to serum magnesium and serum potassium, serum calcium and serum sodium.
MATERIALS AND METHODSThe present study comprised of 35 cases of chronic renal failure, 20 healthy control cases.Criteria for Selection of Cases -Diagnosis of chronic renal failure was established by measuring raised blood urea, nitrogen (BUN) and serum creatinine with clinical sign and symptoms of renal failure. Out of this 35 cases, 8 patients underwent haemodialysis procedures and followed the patients.Method for Estimation of Serum Electrolyte and Blood Urea and Serum Creatinine and other Investigations-1. Serum magnesium estimation was done by modified titan -yellow method as cited by Hawk et al. 2. Serum sodium and serum potassium estimation was done by flame photometry using E.E.L. Flame Photometry. Normal value for serum sodium -Range 137 -148 mEq/L and for Serum...