Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 4, Number 5, May 2013, pages 296-299

A Case of Severe Hypernatremic Myopathy by Primary Hypodipsia, Hyperglycemic Hypertonic State in a 17-Year-Old Patient With Mental Retardation

Figures

Figure 1.
Figure 1. T1 Sella MRI showing that the high signal intensity in the posterior pituitary gland decreased slightly, but did not disappear (white thick arrow). There is suspicious partial agenesis or atrophy of the rostral portion of the corpus callosum (black thin arrow).
Figure 2.
Figure 2. After hydration (from HD1 to HD10), the concentrations of Na and CK in the patient’s serum and osmolarity improved. HD, hospital day; Na, sodium; osm, osmolarity; CK, creatine phosphokinase.

Table

Table 1. Laboratory Findings During Hospitalization
 
Serum glucose (mg/dL)Serum Na (mM/L)Corrected Na (mM/L)Serum osm (mOs/Kg)Urine osm (mOs/kg)Serum CK (IU/L)
HD, hospital day; Na, sodium; osm, osmolarity; CK, creatine phosphokinase.
HD1695174180420899
HD2176
HD3379168170762
HD4321158160339503710
HD5253153154
HD6
HD7135159159
HD8116155155322
HD9121156156157
HD10139157157326513