Post Partum CPM: A Case Report
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 11
Abstract
Hypernatremia is a fatal condition, and can cause encephalopathy, rhabdomyolysis, and osmotic demyelination [1]. Electrolyte imbalance with hypernatremia can take place secondary to hidden post partum complication or can take place denovo. Hypernatremia causes demyelination same as hyponatremia but predominantly include extra-pontine structures [2]. Extrapontine myelinolysis, a moderately common metabolic disorder, is associated with neurological complications. Central pontine and extrapontine myelinolysis are commonly recognized with rapid correction of sodium [1]. Myelinolysis, however, has rarely been described with hypernatremia. We reported a case of post-partum hypernatremic encephalopathy associated with serum sodium levels as high as 187 mEq/l on presentation. However previously no hypernatremia was documented, although the serum sodium levels were brought down gradually, subsequent imaging showed progression of demyelination and deterioration of the neurological status.
Authors and Affiliations
Dr Omar Farooq
Keywords
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