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dc.creatorLawson P,Balduin
dc.creatorSilva C,Jorge
dc.date2001-04-01
dc.date.accessioned2019-09-10T12:42:49Z
dc.date.available2019-09-10T12:42:49Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000400012
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/107359
dc.descriptionThere 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)
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872001000400012
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.129 n.4 2001
dc.subjectHyponatremia
dc.subjectMagnetic resonance imaging
dc.subjectMyelinolysis, central pontine
dc.titleMielinolisis central pontina e hiponatremia: Un problema no resuelto. Caso clínico


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