Mielinolisis central pontina e hiponatremia, un problema no resuelto: caso clínico / Central pontine myelinolysis and hyponatremia: report of 1 case
Rev. méd. Chile
;
129(4): 427-32, abr. 2001. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-287006
ABSTRACT
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 percent and 3 percent 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
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Mielinólise Central da Ponte
/
Hiponatremia
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2001
Tipo de documento:
Artigo
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