title: A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy.
abstract: A 42-year-old high risk pregnant female presented with hyponatremia from multiple causes and was treated with total parenteral nutrition. She developed acute hypernatremia due to the stage of pregnancy and other comorbidities. All the mechanisms of hyponatremia and hypernatremia were summarized here in our case report. This case has picture (graph) representation of parameters that led to changes in serum sodium and radiological findings of central pontine myelinolysis on MRI. In conclusion we present a complicated case serum sodium changes during pregnancy and pathophysiological effects on serum sodium changes during pregnancy.
authors.affiliation: Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
authors.forename: Kalyana C
authors.initials: KC
authors.lastname: Janga
authors.affiliation: Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
authors.forename: Tazleem
authors.initials: T
authors.lastname: Khan
authors.affiliation: Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
authors.forename: Ciril
authors.initials: C
authors.lastname: Khorolsky
authors.affiliation: Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
authors.forename: Sheldon
authors.initials: S
authors.lastname: Greenberg
authors.affiliation: Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
authors.forename: Priscilla
authors.initials: P
authors.lastname: Persaud