EFFECTIVE USE OF MAGNETIC RESONANCE IMAGING IN THE ASSESSMENT OF CHILDREN WITH POSSIBLE GROWTH HORMONE DEFICIENCY

1996 ◽  
Vol 2 (1) ◽  
pp. 8-12 ◽  
Author(s):  
J. Paul Frindik, MD ◽  
Stephen F. Kemp, MD, PhD, FACE ◽  
Catherine Pihoker, MD
Keyword(s):  
Magnetic Resonance Imaging ◽  
Growth Hormone ◽  
Magnetic Resonance ◽  
Growth Hormone Deficiency ◽  
Hormone Deficiency ◽  
Resonance Imaging ◽  
Effective Use

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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