Document Detail

Pontine myelinolysis after correction of hyponatremia during burn resuscitation.
MedLine Citation:
PMID:  2050724     Owner:  NLM     Status:  MEDLINE    
Central pontine myelinolysis is a neurologic disease produced by the rapid correction of hyponatremia. This report describes the occurrence of central pontine myelinolysis in a patient with burns. The natural history of this paralyzing condition and suggestions for its prevention are discussed. Severely burned and hyponatremic patients are at risk for this disorder because a large amount of sodium ion is typically required for the treatment of burn shock. Awareness of this phenomenon and avoidance of rapid correction of hyponatremia are essential to its prevention.
B J Cohen; M H Jordan; S D Chapin; B Cape; R Laureno
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of burn care & rehabilitation     Volume:  12     ISSN:  0273-8481     ISO Abbreviation:  J Burn Care Rehabil     Publication Date:    1991 Mar-Apr
Date Detail:
Created Date:  1991-07-24     Completed Date:  1991-07-24     Revised Date:  2006-08-15    
Medline Journal Info:
Nlm Unique ID:  8110188     Medline TA:  J Burn Care Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  153-6     Citation Subset:  IM    
Department of Surgery, Washington Hospital Center, Washington, DC 20010-2975.
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MeSH Terms
Body Surface Area
Burns / complications,  therapy*
Demyelinating Diseases / etiology,  therapy*
Fluid Therapy / methods
Hyponatremia / therapy*
Magnetic Resonance Imaging
Middle Aged
Pons / pathology*

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