Postpartum Hypernatremic Encephalopathy with Osmotic Extrapontine Myelinolysis and Rhabdomyolysis: A Case Report
Journal Title: Scholars Journal of Medical Case Reports - Year 2014, Vol 2, Issue 6
Abstract
A young adult female in a postpartum state was referred to our hospital with history of fever and altered sensorium. On examination patient had pallor, was febrile and stuporous. Laboratory investigations revealed hypernatremia and raised CPK levels suggestive of rhabdomyolysis and MRI showed features suggestive of hypernatremic encephalopathy. After correction of hypernatremia with oral free water supplementation and 5% dextrose and with glucocorticoids therapy, over a period of two weeks there was gradual improvement in the sensorium of the patient. At the time of discharge patient was conscious, oriented and ambulant. Keywords: Hypernatremia, Metabolic encephalopathy, Rhabdomyolysis, Glucocorticoids, Free water
Authors and Affiliations
Mohan Kashinkunti, Hemamalini. G, B. V. Halakatti, Smrthi Shetty, Sonam Jethi
Keywords
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