Central myelinolysis in a patient with hyponatraemia.
We present a case of a 50-year old man who developed mutism and a flaccid quadriparesis within 48 hours of presentation to hospital with severe hyponatraemia. A diagnosis of central pontine myelinolysis was made based on the clinical features and typical appearances on magnetic resonance imaging.
West
W
W
Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies. wayne_west@hotmail.com
Gilbert
D T
DT
Wilks
R J
RJ
D006801:Humans; D007010:Hyponatremia / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009155:Mutism / Q000209:etiology*; D017590:Myelinolysis, Central Pontine / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011782:Quadriplegia / Q000175:diagnosis / Q000209:etiology*