Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico

There is a controversy wheter central pontine myelinolysis can complicate either hyponatremia or its rapid correction. We report a 69 years old woman with a history of one month of vertigo, nausea, vomiting and diarrhea. She was admitted dehydrated ad stuporous, and initial laboratory values showed...

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Autores principales:	Lawson P,Balduin, Silva C,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Hyponatremia Magnetic resonance imaging Myelinolysis, central pontine
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000400012
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spelling	oai:scielo:S0034-988720010004000122003-04-10Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínicoLawson P,BalduinSilva C,Jorge Hyponatremia Magnetic resonance imaging Myelinolysis, central pontine There is a controversy wheter central pontine myelinolysis can complicate either hyponatremia or its rapid correction. We report a 69 years old woman with a history of one month of vertigo, nausea, vomiting and diarrhea. She was admitted dehydrated ad stuporous, and initial laboratory values showed a serum sodium of 96 mEq/L She was treated with dextrose 5% and 3% NaCI. Serum sodium raised to 120 mEq/L at the next day and the level of consciousness improved. At the 4th day of admission, the patient was again stuporous and with spastic quadriplegia. A magnetic resonance imaging showed a central and symmetrical pontine lesion on T1 and T2 weighed images. Thereafter, the patient experienced a progressive improvement of her neurological condition and was discharged three months later, moving her lower limbs. Nine month later she was able to walk. (Rev Méd Chile 2001; 129: 427-32)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.4 20012001-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000400012es10.4067/S0034-98872001000400012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hyponatremia Magnetic resonance imaging Myelinolysis, central pontine
spellingShingle	Hyponatremia Magnetic resonance imaging Myelinolysis, central pontine Lawson P,Balduin Silva C,Jorge Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico
description	There is a controversy wheter central pontine myelinolysis can complicate either hyponatremia or its rapid correction. We report a 69 years old woman with a history of one month of vertigo, nausea, vomiting and diarrhea. She was admitted dehydrated ad stuporous, and initial laboratory values showed a serum sodium of 96 mEq/L She was treated with dextrose 5% and 3% NaCI. Serum sodium raised to 120 mEq/L at the next day and the level of consciousness improved. At the 4th day of admission, the patient was again stuporous and with spastic quadriplegia. A magnetic resonance imaging showed a central and symmetrical pontine lesion on T1 and T2 weighed images. Thereafter, the patient experienced a progressive improvement of her neurological condition and was discharged three months later, moving her lower limbs. Nine month later she was able to walk. (Rev Méd Chile 2001; 129: 427-32)
author	Lawson P,Balduin Silva C,Jorge
author_facet	Lawson P,Balduin Silva C,Jorge
author_sort	Lawson P,Balduin
title	Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico
title_short	Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico
title_full	Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico
title_fullStr	Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico
title_full_unstemmed	Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico
title_sort	mielinolisis central pontina e hiponatremia: un problema no resuelto. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000400012
work_keys_str_mv	AT lawsonpbalduin mielinolisiscentralpontinaehiponatremiaunproblemanoresueltocasoclinico AT silvacjorge mielinolisiscentralpontinaehiponatremiaunproblemanoresueltocasoclinico
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Mielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico

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