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Handwriting, fine actions corresponding to utilizing a screwdriver or threading a needle, and consuming soup from a spoon, could also be affected. Neurological manifestations could appear in adolescence but extra generally develop in the adult years. Primary hyperaldosteronism can also result in hypervolemic hypernatremia; nevertheless, the level of hypernatremia is often milder and does not result in neurologic signs xanax muscle relaxant qualities effective 50 mg voveran.