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Extrapontine myelinolysis and cortical laminar necrosis caused by severe hypernatremia following peritoneal lavage for ruptured hydatid cyst of the liver: A case report and review of the literature

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Abstract

Extrapontine myelinolysis (EPM) and cortical laminar necrosis (CLN) have rarely been reported in association with severe hypernatremia. We describe a patient with EPM associated with CLN following severe hypernatremia due to hypertonic peritoneal lavage after a ruptured hydatid cyst of the liver. Clinical and neuroimaging findings in acute stage and serial brain MRI at two and five month follow-up are discussed in detail.

Original languageEnglish
Pages (from-to)242-248
Number of pages7
JournalNeuroradiology Journal
Volume24
Issue number2
DOIs
Publication statusPublished - Apr 2011

Keywords

  • Brain
  • Cortical laminar necrosis
  • Extrapontine myelinolysis
  • Hypernatremia
  • Magnetic resonance imaging
  • Osmotic demyelination syndrome

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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