Answer
Answer
Treatment is supportive only. Correction rate is controversial (for more information on treatment, see the Medscape Reference article on hyponatremia). Diligently avoid hypernatremia. It is advised to study details concerning the etiology and correction of electrolyte disorders.
Patients with alcoholism should receive vitamin supplementation. Formally evaluate their nutritional status.
Once medically stable, the patient should be evaluated by a neurorehabilitation specialist and, if appropriate, transferred for further inpatient recovery-oriented therapy.
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T2-weighted MRI scan of the brain demonstrating patchy areas of signal change within the pons that are consistent with demyelination or central pontine myelinolysis. Courtesy of Dr Andrew Waclawik, Department of Neurology, University of Wisconsin, Madison.
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