can some one explain what is central pontine myelinosis ....it occurs when treatment of hyponatremia is done by giving sudden and high conc of sodium fluid to pt...?
Yes, Its acute paralysis with dysarthria, dysphagia diplopia and loss of conciousness. Involve Para or Quadriparesis, which is a Damage to the Cerebral basis pontis due a rapid correction of hyponatremia.
The white matter is ESP suseptible to osmotic changes , quickly correctiog hypoNa will lead to fluid acc in all white matter tracts and neurons d/t osmotic damage.
White matter is abundant in Pons so it is called.
CENTRAL PONTINE MYELINOSIS
Hope this helps
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