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Case Reports
. 1991 Mar-Apr;12(2):153-6.
doi: 10.1097/00004630-199103000-00013.

Pontine myelinolysis after correction of hyponatremia during burn resuscitation

B J Cohen  1 , M H Jordan, S D Chapin, B Cape, R Laureno
Affiliations
Case Reports

Pontine myelinolysis after correction of hyponatremia during burn resuscitation

B J Cohen et al. J Burn Care Rehabil. 1991 Mar-Apr.

Abstract

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.

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