Central pontine and extra pontine myelinosis is commonly related with a rapid correction of sodium. We describe a patient with acute confusional state, dysarthria and quadriparesis with predominant hypokalemia showing mild hyponatremia. MRI imaging revealed the occurrences of pontine and extrapontine lesions which disappeared with symptomatic treatment. Hypokalemia was the predisposing factor in the pathogenesis for Central pontine myelinolysis (CPM).
Published On: June 2019
Online ISSN: 2456-8163