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163660

A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Internal Medicine

Abstract

Background: Central pontine myelinolysis (CPM)is unique and rare clinical entity. It could be a neurological complication of prolonged hyponatraemia. Many predisposing risk factors (chronic alcoholism, malnutrition, malignancy) may aggravate the development of CPM. CPM usually have a poor or even fatal outcome. However, CPM does not inevitably have a bad prognosis, and could occur with proper restoration of normal serum sodium concentrations.   
Case Summary: Here, we presented a case of a 48-year-oldfemale. She used to drink alcohol. She presented to Our Lady's Hospital/Navan with a history of four days feeling unwell, confused diarrhea, vomiting and by investigations, she had severe hyponatraemia. She was managed optimally in the ICU with close monitoring of her urea and electrolytes. Unfortunately, she got progressive neurological deficits (lower limbs weakness, and slurred speech) irrespective of gentle treatment of hyponatremia in intensive care unit. After Neurological and radiological input from Dublin institute, CPM confirmed under background of alcoholism and malnutrition. Following the diagnosis of CPM, she was discharged home after been rehabilitated with physiotherapy with ongoing recovery.

DOI

10.21608/ijma.2021.63169.1268

Keywords

Hyponatremia, Central Pontine Myelinolysis, Alcoholism, Malnutrition

Authors

First Name

Azhar

Last Name

Al-Shaibany

MiddleName

-

Affiliation

Department of Medicine/Endocrinology unit, Our Lady's Hospital, Navan, Co Meath, Ireland

Email

azharalshaibany@gmail.com

City

-

Orcid

0000-0003-4135-9610

First Name

Shah

Last Name

Shabahat

MiddleName

-

Affiliation

Department of Medicine/Endocrinology unit, Our Lady's Hospital, Navan, Co Meath, Ireland

Email

shabahat.shah@hse.ie

City

Dublin

Orcid

-

First Name

Moiz

Last Name

Shahid

MiddleName

-

Affiliation

Department of General Medicine, Our Lady's Hospital, Navan, Co Meath, Ireland

Email

moizshahid@hotmail.com

City

Dublin

Orcid

-

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2021-02-16

Publish Date

2021-04-01

Page Start

1,316

Page End

1,321

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1316-1321.pdf

PDF . 1.4MB

Link

https://ijma.journals.ekb.eg/article_163660.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=163660

Order

20

Type

Case Report

Type Code

819

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023