Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity
We present a case of a nearly 3-year-old girl who was admitted to hospital due to severe hypernatremia (196 mmol/l). Her medical history included central hypothyreosis and growth hormone deficiency. Rehydration and normalization of sodium was achieved according to guidelines. On the fourth day of ho...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2019/7381597 |
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| _version_ | 1832553504811515904 |
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| author | Jan-Niclas Schwade Lior Haftel Lars Rühe Matthias Endmann |
| author_facet | Jan-Niclas Schwade Lior Haftel Lars Rühe Matthias Endmann |
| author_sort | Jan-Niclas Schwade |
| collection | DOAJ |
| description | We present a case of a nearly 3-year-old girl who was admitted to hospital due to severe hypernatremia (196 mmol/l). Her medical history included central hypothyreosis and growth hormone deficiency. Rehydration and normalization of sodium was achieved according to guidelines. On the fourth day of hospitalization, the patient developed tremor, ataxia, and rigor. Cranial magnetic resonance imaging (cMRI) was performed and (mis)interpreted for meningoencephalitis, with corresponding diagnostic and therapeutic implications. The patient had extrapontine myelinolysis. The child recovered completely after hospitalization for nearly 2 weeks. |
| format | Article |
| id | doaj-art-db966914460d4fe3b81ab959cde3ca4d |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-db966914460d4fe3b81ab959cde3ca4d2025-02-03T05:53:55ZengWileyCase Reports in Pediatrics2090-68032090-68112019-01-01201910.1155/2019/73815977381597Extrapontine Myelinolysis following Extreme Hypernatremia and HyperosmolarityJan-Niclas Schwade0Lior Haftel1Lars Rühe2Matthias Endmann3Klinik für Kinder-und Jugendmedizin, Evangelisches Krankenhaus Lippstadt, Wiedenbrückerstr. 33, 59555 Lippstadt, GermanyKlinik für Kinder-und Jugendmedizin, Evangelisches Krankenhaus Lippstadt, Wiedenbrückerstr. 33, 59555 Lippstadt, GermanyRadiologische Gemeinschaftspraxis am Evangelischen Krankenhaus Lippstadt, Wiedenbrückerstr. 33, 59555 Lippstadt, GermanyKlinik für Kinder-und Jugendmedizin, Evangelisches Krankenhaus Lippstadt, Wiedenbrückerstr. 33, 59555 Lippstadt, GermanyWe present a case of a nearly 3-year-old girl who was admitted to hospital due to severe hypernatremia (196 mmol/l). Her medical history included central hypothyreosis and growth hormone deficiency. Rehydration and normalization of sodium was achieved according to guidelines. On the fourth day of hospitalization, the patient developed tremor, ataxia, and rigor. Cranial magnetic resonance imaging (cMRI) was performed and (mis)interpreted for meningoencephalitis, with corresponding diagnostic and therapeutic implications. The patient had extrapontine myelinolysis. The child recovered completely after hospitalization for nearly 2 weeks.http://dx.doi.org/10.1155/2019/7381597 |
| spellingShingle | Jan-Niclas Schwade Lior Haftel Lars Rühe Matthias Endmann Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity Case Reports in Pediatrics |
| title | Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity |
| title_full | Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity |
| title_fullStr | Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity |
| title_full_unstemmed | Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity |
| title_short | Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity |
| title_sort | extrapontine myelinolysis following extreme hypernatremia and hyperosmolarity |
| url | http://dx.doi.org/10.1155/2019/7381597 |
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