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- W2234178787 abstract "An 84-year-old lady was treated for hyperosmolar hyperglycaemia with IV insulin, fluids and catheterisation for fluid balance monitoring. Trial without catheter failed as the patient complained of new-onset urinary incontinence and lack of awareness of bladder filling. In light of her breast cancer history, we excluded cauda equina. Ultrasound KUB showed an enlarged bladder. Whole-body MRI revealed a lesion in the pons which was highly suggestive of central pontine myelinolysis (CPM). Her electrolytes were normal throughout her admission; thus, the rapid fluctuation in osmolality, secondary to her hyperglycaemic state, was the likely cause of CPM. CPM has been reported secondary to hyperglycaemia; however, this is the first reported case of CPM presenting as urinary incontinence and loss of bladder sensation." @default.
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- W2234178787 date "2015-07-23" @default.
- W2234178787 modified "2023-09-24" @default.
- W2234178787 title "Urinary incontinence a first presentation of central pontine myelinolysis: a case report" @default.
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- W2234178787 doi "https://doi.org/10.1093/ageing/afv089" @default.
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