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Wednesday, December 03, 2008

nejm central pontine mylinolysis

A 26-year-old man with a history of chronic alcohol abuse presented with dysarthria, lethargy, and horizontal nystagmus. Results of a clinical examination and blood tests were otherwise normal, including a serum sodium level of 137 mmol per liter and serum osmolality of 287 mOsm per kilogram. Over the next 5 days, spastic quadriparesis and pseudobulbar palsy developed. full story….

http://content.nejm.org/cgi/content/full/359/23/e29/F1

Please read my other post on central pontine myelinolysis 

http://coolmristuff.wordpress.com/2007/03/23/central-pontine-myelinolysis/

See MRI images here

http://content.nejm.org/content/vol359/issue23/images/large/10f1.jpeg

Souce

http://content.nejm.org/cgi/content/full/359/23/e29/F1

coolmristuff

MRI Nueroarm Video