[Case of neuromyelitis optica spectrum disorder associated with central pontine and extrapontine myelinolysis preceded by syndrome of inappropriate antidiuretic hormone secretion].

@article{Sakai2014CaseON,
  title={[Case of neuromyelitis optica spectrum disorder associated with central pontine and extrapontine myelinolysis preceded by syndrome of inappropriate antidiuretic hormone secretion].},
  author={Waka Sakai and N Matsui and Koji Fujita and Yuishin Izumi and Yoshihiko Nishida and Toshiyuki Takahashi and Takashi Kanbayashi and Ryuji Kaji},
  journal={Rinsho shinkeigaku = Clinical neurology},
  year={2014},
  volume={54 7},
  pages={556-60}
}
A 36-year-old woman complained of general malaise. She presented with hyponatremia and plasma osmotic pressure was lower than urinary osmotic pressure. In addition, serum antidiuretic hormone level was higher than the measurement sensitivity. She was diagnosed with the syndrome of inappropriate antidiuretic hormone secretion (SIADH). She fell into a coma despite correction of serum sodium level. Brain magnetic resonance imaging (MRI) revealed high signal intensities in the cerebral cortex… CONTINUE READING