NEJM Central pontine myelinolysis

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….

Please read my other post on central pontine myelinolysis

See MRI images here



One thought on “NEJM Central pontine myelinolysis

  1. Is it possible to communicate with you over the phone. Sadly enough my ways to chat are truly going back to the old faithful being a phone. Everyday is like a new life to my CPM issues are quite unique as your personal comment about “COOLMRISTUFF.” Thank you as I look forward to your return. G-d Bless….

    Franky and WhataBreeze

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