Central pontine myelinolysis: resolution shown by computed tomography

1983 
Recently, reports of the roentgenographic features in six cases of central pontine myelinolysis (CPM) have appeared. 1-5 In only one of these cases 1 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 findings 1-5 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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