PEDIATRICS Vol. 74 No. 6 December 1984, pp. 1123-1125
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Computed Tomography in an Infant with Salt Poisoning: Relationship of Hypodense Areas in Basal Ganglia to Serum Sodium Concentration

BRIAN F. HABBICK MB, FRCP (C), FRCP (Glas), MRCP (Lond)1, ALAN HILL MD, PHD, FRCP(C)1, and STANLEY P. K. TCHANG MD, FRCP(C)1

1 Departments of Pediatrics, Clinical Neurological Sciences, and Radiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

The pathogenesis of the intracranial complications of hypernatremia has been the subject of considerable research.1-5 The purpose of this communication is to report unusual appearances on computed tomographic (CT) scan of the brain in an infant who developed hypernatremia as a result of salt poisoning.

CASE REPORT

The patient, a 6-month-old male infant, was admitted for investigation of seizures. He had been admitted to another hospital on the evening of Jan 25, 1983, because of several episodes in which he rolled his eyes and had generalized stiffening and back arching. Diazepam had been given intramuscularly, and the infant was then given intravenous (IV) fluids (50 mmol of sodium chloride and 33.3 g of dextrose per liter).