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February 1983

Central Pontine Myelinolysis: Resolution Shown by Computed Tomography

Author Affiliations

From the Department of Neurology, Mount Sinai Services at Elmhurst (NY) (Drs Gerber and Geller); the Department of Radiology, Beth Israel Medical Center, New York (Dr Yang); and the Mount Sinai School of Medicine of the City University of New York (Drs Gerber, Geller, Stiller, and Yang).

Arch Neurol. 1983;40(2):116-118. doi:10.1001/archneur.1983.04050020078019

Recently, reports of the roentgenographic features in six cases of central pontine myelinolysis (CPM) have appeared.1-5 In only one of these cases1 was there a suggestion of partial resolution on a subsequent computed tomogram (CT) in a patient whose condition was improving clinically. We report the case of a patient with clinical CPM whose diagnosis was confirmed by the now characteristic CT findings1-5 of a pontine lucency. Our patient recovered completely, but serial CTs did not return to normal until 12 to 18 months after clinical resolution.

REPORT OF A CASE  A 28-year-old man was admitted to the City Hospital Center at Elmhurst (NY) on June 10, 1979, with left-sided abdominal pain and emesis. He had a long history of alcoholism and former addiction to heroin.At the time of admission blood chemistry values were normal except for a sodium level of 126 mEq/L and high

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