Mielinolisis extrapontina en paciente con hipernatremia grave en la UCI
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Mielinolisis pontina es una patología con alto índice de mortalidad de hasta 80% y 20% que sobreviven permanecen con secuelas neurológicas permanentes. En los pacientes con hiponatremia. La mala reposición de soluciones hipertónicas es la principal causa de esta patología, se cree que la corrección rápida de la hipernatremia con soluciones hipotónicas puede ocasionar este síndrome, el cual se caracteriza por alteraciones del estado de conciencia, disfagia, disartria, mutismo, así como parálisis retro bulbar y etraparesia.
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