| CASE REPORT |
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| Year : 2017 | Volume
: 14
| Issue : 3 | Page : 188-189 |
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Postpartum hypernatremic encephalopathy with “Wine Glass Sign” on magnetic resonance imaging
Vinit Suri1, Sanjiv Jasuja2, Neelam Suri3, Rahul Saini1, Mohit Kalangi Venkata Naga1, Kunal Suri4
1 Department of Neurology, Indraprastha Apollo Hospital, New Delhi, India
2 Department of Nephrology, Indraprastha Apollo Hospital, New Delhi, India
3 Department of Obstetrics and Gynaecology, Indraprastha Apollo Hospital, New Delhi, India
4 Internal Medicine, Ram Manohar Lohia Hospital, New Delhi, India
Correspondence Address:
Vinit Suri
Department of Neurology, Indraprastha Apollo Hospital, Sarita Vihar, Mathura Road, New Delhi
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/am.am_3_17
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We report a 28-year-old postpartum female with acute delirium, agitation, confusion, visual hallucinations, and limb weakness. Investigations revealed severe hypernatremia, hyperuricemia, rhabdomyolysis, acute kidney injury, normal serum and urine osmolarity, normal urine spot sodium level, and normal serum antidiuretic hormone level. Magnetic resonance imaging of brain revealed hyperintensities in bilateral corticospinal tracts showing the classical “Wine Glass sign” suggesting hypernatremia-related osmotic demyelination. Patient improved with gradual correction of hypernatremia. We would like to highlight the importance of timely recognition and appropriate treatment of this rare condition which is potentially fatal and may also lead to severe permanent neurological deficits.
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