title: Central myelinolysis in a patient with hyponatraemia.
abstract: 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.
authors.affiliation: Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies. wayne_west@hotmail.com
authors.forename: W
authors.initials: W
authors.lastname: West
authors.forename: D T
authors.initials: DT
authors.lastname: Gilbert
authors.forename: R J
authors.initials: RJ
authors.lastname: Wilks
mesh_terms: 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*