{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:40:04Z","timestamp":1745750404359,"version":"3.40.4"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,3,15]]},"abstract":"<jats:p>We present two cases in which a 10-month-old male infant and another 15-month-old female child presented with symptoms of sleeping with their eyes wide open (lagophthalmos) with features of gastroenteritis (GE) and dehydration. The first child had been seen and discharged the previous day from the paediatric emergency department (ED) with a diagnosis of GE. He presented the following day with sleeping discomfort with his eyes wide open and ongoing symptoms of GE. The second child presented to the ED with features of GE. She was found to be sleeping in the ED with her eyes wide open. Investigations of both children revealed hypernatraemic dehydration. Correction of the electrolyte imbalance in both cases over a period of 48\u2005h led to the resolution of symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2013-203427","type":"journal-article","created":{"date-parts":[[2014,4,11]],"date-time":"2014-04-11T15:54:26Z","timestamp":1397231666000},"page":"bcr2013203427","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Nocturnal lagophthalmos: never seen before in hypernatraemic dehydration"],"prefix":"10.1136","volume":"2014","author":[{"given":"Birendra","family":"Rai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudha","family":"Moka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farhana","family":"Sharif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,4,11]]},"reference":[{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-012-1690-z"},{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-011-1559-6"},{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.3","unstructured":"Greenbaum LA . Pathophysiology of body fluids and fluid therapy. In: Behrman RE Kliegman RM Jenson HB . eds. Nelson text book of pediatrics. 17th edn. Saunders, 2004:pp 199\u2013202."},{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.4","unstructured":"Shah GS Das BK Kumar S . Department of Pediatrics & Community Medicine. Electrolyte disturbances in Diarrhea, Pediatric Oncall, Vol 3 Issue 11 Art # 39."},{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2005.07.019"},{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.6","doi-asserted-by":"crossref","first-page":"C7","DOI":"10.1111\/j.1525-1497.2006.00466.x","article-title":"Bilateral facial paralysis case presentation and discussion of differential diagnosis","volume":"21","author":"Jain","year":"2006","journal-title":"J Gen Intern Med"},{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.7","first-page":"458371","article-title":"Bilateral facial nerve palsy: a diagnostic dilemma","volume":"2012","author":"Pothiawala","year":"2012","journal-title":"Case Rep Emerg Med"},{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2007.01152.x"},{"key":"2025042703190129000_2014.apr11_1.bcr2013203427.9","unstructured":"Purves D Augustine GJ Fitzpatrick D ., eds. Physiological changes in sleep states. In: Neuroscience. 2nd edn. Sunderland, MA: Sinauer Associates, 2001. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK10916\/"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-203427","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:19:09Z","timestamp":1745749149000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-203427"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,11]]},"references-count":9,"alternative-id":["10.1136\/bcr-2013-203427"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-203427","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,4,11]]}}}