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  Vol. 54 No. 8, August 1997 TABLE OF CONTENTS
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Central Pontine Myelinolysis in a Patient With Classic Heat Stroke

Turi McNamee, MD
Boston, Mass

Sean Forsythe, MD; Robert Wollmann, MD
Chicago

I. Maurice Ndukwu, MD
Section of Pulmonary and Critical Care Medicine University of Chicago 5841 S Maryland Ave MC 6076 Chicago, IL 60637

Arch Neurol. 1997;54(8):935-936.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The 1995 Chicago heat wave, with temperatures ranging from 33.9°C to 40.0°C (heat index, 37.8°C-46.1°C) for 5 consecutive days, caused numerous hospital admissions for classic heat stroke and 518 heat-related deaths.1 Classic heat stroke occurs frequently in the elderly, urban poor during periods of high ambient temperature2 and is characterized by a body temperature of more than 40.6°C, hot, dry skin, and functional disturbance of the central nervous system, including lethargy, stupor, and coma.3,4 Central pontine myelinolysis (CPM) is a disorder characterized by symmetrical demyelination distributed about the midline in the basis pontis.5 The major clinical manifestations of a significant central basis pontine lesion are ocular and pupillary paralysis, dysarthria, quadriparesis, and incontinence.6 Central pontine myelinolysis usually is associated with excessively rapid correction of hyponatremia.

Report of a Case.

A 79-year-old African American woman with a history of mild arthritis and remote alcohol use, receiving . . . [Full Text PDF of this Article]



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