A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy

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...

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Main Authors: Kalyana C. Janga, Tazleem Khan, Ciril Khorolsky, Sheldon Greenberg, Priscilla Persaud
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2015/940807
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author Kalyana C. Janga
Tazleem Khan
Ciril Khorolsky
Sheldon Greenberg
Priscilla Persaud
author_facet Kalyana C. Janga
Tazleem Khan
Ciril Khorolsky
Sheldon Greenberg
Priscilla Persaud
author_sort Kalyana C. Janga
collection DOAJ
description 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.
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id doaj-art-3ca583ac376b471db85714853d288182
institution Kabale University
issn 2090-6641
2090-665X
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Nephrology
spelling doaj-art-3ca583ac376b471db85714853d2881822025-02-03T01:07:04ZengWileyCase Reports in Nephrology2090-66412090-665X2015-01-01201510.1155/2015/940807940807A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in PregnancyKalyana C. Janga0Tazleem Khan1Ciril Khorolsky2Sheldon Greenberg3Priscilla Persaud4Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAMaimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAMaimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAMaimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAMaimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAA 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.http://dx.doi.org/10.1155/2015/940807
spellingShingle Kalyana C. Janga
Tazleem Khan
Ciril Khorolsky
Sheldon Greenberg
Priscilla Persaud
A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy
Case Reports in Nephrology
title A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy
title_full A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy
title_fullStr A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy
title_full_unstemmed A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy
title_short A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy
title_sort rare case of central pontine myelinolysis in overcorrection of hyponatremia with total parenteral nutrition in pregnancy
url http://dx.doi.org/10.1155/2015/940807
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