Quadriplegia

Central pontine myelinolysis (CPM) is often a feared complication of overly aggressive correction of hyponatremia (defined as < 135 mEq/L).1 Current guidelines1,2,3 dictate a slow correction of sodium, generally not exceeding 8-10 mEq/24 hrs to prevent CPM.1 CPM is a non-inflammatory demyelinating disease characterized by the loss of myelin in the base of the pons and carries a poor prognosis, often times resulting in death. We present a case in which an elderly gentleman was admitted for…