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Figure 1. A 30-year-old alcoholic woman presented with confusion and disorientation after a grand mal seizure. The patient's serum sodium concentration on admission was 99 mmol per liter. Treatment was initiated with a slow infusion of normal saline, resulting in serum sodium values of 102 mmol per liter 4 hours after admission, 104 mmol per liter at 8 hours, 115 mmol per liter at 12 hours, 118 mmol per liter at 18 hours, and 125 mmol per liter at 24 hours. The patient initially had dysarthria, with slurred speech, and a slow finger-to-nose test on cerebellar examination, although there . . . [Full Text of this Article] |
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