You are here

Article Text

Article menu

Download PDFPDF

Image of the moment
Focal precentral gyrus involvement in osmotic demyelination
  1. Martin R Turner1,
  2. John Jacob1,2,
  3. Lucy Matthews3,
  4. Fintan Sheerin3
  1. 1 Nuffield Department of Clinical Neurosciences, Oxford University, John Radcliffe Hospital, Oxford, UK
  2. 2 Department of Neurology, Milton Keynes University Hospital, Milton Keynes, UK
  3. 3 Department of Neurology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK
  1. Correspondence to Professor Martin R Turner, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford University, OX3 9DU, Oxford, UK; martin.turner{at}ndcn.ox.ac.uk

https://doi.org/10.1136/practneurol-2017-001682

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    The case

    A previously well 59-year-old woman was admitted to a regional hospital with subacute encephalopathy and found to have severe hyponatraemia (101 mmol/L). She had taken indapamide for hypertension over the preceding 3 months. Before referral to neurological services, she had received intravenous hypertonic saline. Her serum sodium concentration normalised within a few days, but was associated with a deteriorating conscious level. She was referred to our tertiary neurological centre with suspected osmotic demyelination where she presented in a ‘locked in’ state, involving quadriplegia and absent vertical …

    View Full Text

    Other content recommended for you