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Severe hyponatraemia and central pontine myelinolysis: Be careful with other factors
Annales Françaises d'Anesthésie et de Réanimation , 02/03/09

Ruiz S et al. - Authors describe the case of a 46-year-old chronic alcoholic, suffering from denutrition. The correction of hyponatraemia is not the only causal agent of this syndrome; hypokalaemia and denutrition seem to be predisposing factors too. For these reasons, glial cells are more vulnerable to osmotic variations. Despite of severe initial symptoms, the evolution was favourable with a quasi complete recovery.

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