The autopsy findings in a patient with severe hyponatremia showing central pontine myelinolysis are reported. Review of other patients with central pontine myelinolysis and of those described in the English literature to date disclosed that 61% had documented hyponatremia. While the exact mechanism involving hyponatremia and central pontine myelinolysis is not explained, a circumstantial relation is apparent. In this paper this relation is brought to the fore and the possibility is discussed to consider a central pontine myelinolysis in any patient with hyponatremia and neurologic dysfunction.
ASJC Scopus subject areas
- Clinical Neurology