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A trident in the brain, central pontine myelinolysis
  1. D Biotti,
  2. S Durupt
  1. 1
    Neurology Registrar, University Hospital-General Hospital, Department of Neurology, Dijon, France
  2. 2
    Neurology Registrar, Internal Medicine Department, University Hospital, Lyon Sud, France
  1. Dr D Biotti, University Hospital-General Hospital, Department of Neurology, 3 Rue du Faubourg Raines, 21000 Dijon, France; dbiotti{at}hotmail.com

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Amiddle aged man with a history of alcoholism and psychotic troubles was admitted to the emergency department with drowsiness that had been developing over the previous week. He had been treated with a carboxamide of valproic acid, citalopram, cyamemazine (neuroleptic), alimemazine (another antihistamine) and oxazepam. As well as chronic alcoholism, he had also suffered from recent compulsive water …

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