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dc.contributor.authorYalcin-Cakmakli, Gul
dc.contributor.authorOguz, Kader Karli
dc.contributor.authorShorbagi, Ali
dc.contributor.authorBas, Demet Funda
dc.contributor.authorErgan-Arsava, Begum
dc.contributor.authorKunt, Mahir
dc.contributor.authorTopcuoglu, Mehmet Akif
dc.date.accessioned2019-12-10T11:25:05Z
dc.date.available2019-12-10T11:25:05Z
dc.date.issued2010
dc.identifier.issn0918-2918
dc.identifier.urihttps://doi.org/10.2169/internalmedicine.49.3395
dc.identifier.urihttp://hdl.handle.net/11655/15692
dc.description.abstractWe report two patients with acute hyponatremic encephalopathy which developed after massive water ingestion for pelvic ultrasound and emphasize the findings of magnetic resonance (MR) imaging including diffusion-weighted imaging (DWI). Both subjects had completely recovered within 24 hours following fluid restriction and salt replacement. MR imaging revealed cortical sulcal narrowing, restricted diffusion and sulcal T2 hyperintensity along with diffuse pial enhancement suggesting diffuse cerebral cortical cytotoxic edema and blood-brain barrier breakdown. In addition to the first illustration of multimodality MR imaging features of water-intoxication, these two cases also highlight the need for standardized practice on the quantity of water intake recommended to distend the bladder for pelvic ultrasound, especially in patients at risk for serum inappropriate ADH syndrome-related hyponatremia.
dc.language.isoen
dc.publisherJapan Soc Internal Medicine
dc.relation.isversionof10.2169/internalmedicine.49.3395
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGeneral & Internal Medicine
dc.titleHyponatremic Encephalopathy After Excessive Water Ingestion Prior To Pelvic Ultrasound: Neuroimaging Findings
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.relation.journalInternal Medicine
dc.contributor.departmentNöroloji
dc.identifier.volume49
dc.identifier.issue16
dc.identifier.startpage1807
dc.identifier.endpage1811
dc.description.indexWoS
dc.description.indexScopus


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