The necessity of magnetic resonance imaging in the evaluation of pediatric growth hormone deficiency: Lessons from a large academic center

2021 ◽  
pp. 101427
Author(s):  
Leena Mamilly ◽  
Amy L. Pyle-Eilola ◽  
Monika Chaudhari ◽  
Rohan K. Henry
Keyword(s):  
Magnetic Resonance Imaging ◽  
Growth Hormone ◽  
Magnetic Resonance ◽  
Growth Hormone Deficiency ◽  
Hormone Deficiency ◽  
Resonance Imaging ◽  
Academic Center

scholarly journals Extrapontine Myelinolysis following Extreme Hypernatremia and Hyperosmolarity

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Jan-Niclas Schwade ◽  
Lior Haftel ◽  
Lars Rühe ◽  
Matthias Endmann
Keyword(s):  
Magnetic Resonance Imaging ◽  
Growth Hormone ◽  
Magnetic Resonance ◽  
Growth Hormone Deficiency ◽  
Medical History ◽  
Hormone Deficiency ◽  
Resonance Imaging ◽  
Cranial Magnetic Resonance Imaging ◽  
Extrapontine Myelinolysis ◽  
Therapeutic Implications

We present a case of a nearly 3-year-old girl who was admitted to hospital due to severe hypernatremia (196 mmol/l). Her medical history included central hypothyreosis and growth hormone deficiency. Rehydration and normalization of sodium was achieved according to guidelines. On the fourth day of hospitalization, the patient developed tremor, ataxia, and rigor. Cranial magnetic resonance imaging (cMRI) was performed and (mis)interpreted for meningoencephalitis, with corresponding diagnostic and therapeutic implications. The patient had extrapontine myelinolysis. The child recovered completely after hospitalization for nearly 2 weeks.

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