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KMID : 1143720140100010031
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Korean Journal of Neurotrauma
2014 Volume.10 No. 1 p.31 ~ p.34
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Central Pontine and Extrapontine Myelinolysis in a Patient with Traumatic Brain Injury Following Not Rapid Correction of Hyponatremia: A Case Report
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Baek Tae-Hyun
Yang Seung-Ho
Sung Jae-Hoon
Lee Sang-Won
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Abstract
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Central pontine myelinolysis occurs inconsistently as a complication of severe and prolonged hyponatremia, particularly when corrected too rapidly. This condition is a concentrated, frequently symmetric, noninflammatory demyelination within the central basis pontis. We describe a head injury patient who developed central pontine and extrapontine myelinolysis following a gradual correction of hyponatremia. More attention should be paid to correcting hyponatremia combined with hypokalemia in patients who have a history of alcoholism.
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KEYWORD
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Central pontine myelinolysis, Hyponatremia, Head injury, Hypokalemia
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