{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:40:06Z","timestamp":1777876806667,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T00:00:00Z","timestamp":1483660800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neuroradiol J"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>A young adult female with restricted water intake during the postpartum period presented with history of progressive weakness, dizziness and tendency to fall with generalized slowing of movement. On examination, patient was anaemic, febrile and stuporous. Investigations revealed hypernatremia, delta waves in electroencephalogram (EEG) and features suggestive of extra-pontine myelinolysis on magnetic resonance imaging (MRI) of brain. After correcting hypernatremia and instituting anti-cholinergic therapy, there was a gradual but steady improvement in neurological symptoms of the patient over a period of one week and the patient was discharged in a conscious, oriented and ambulant state. As such, neuroimaging findings can be crucial in diagnosing hypernatremic encephalopathy in the postpartum period.<\/jats:p>","DOI":"10.1177\/1971400916678246","type":"journal-article","created":{"date-parts":[[2017,1,7]],"date-time":"2017-01-07T11:15:38Z","timestamp":1483787738000},"page":"84-87","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Extra-pontine myelinolysis secondary to hypernatremia induced by postpartum water restriction"],"prefix":"10.1177","volume":"30","author":[{"given":"A","family":"Chhabra","sequence":"first","affiliation":[{"name":"Department of Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Department of Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RM","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Department of Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Goel","sequence":"additional","affiliation":[{"name":"Neurology Department, Max Superspeciality Hospital, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,6]]},"reference":[{"key":"bibr1-1971400916678246","first-page":"1085","volume-title":"Textbook of critical care medicine","author":"Berl T","year":"2005","edition":"5"},{"key":"bibr2-1971400916678246","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-124-2-199601150-00002"},{"key":"bibr3-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2005.10.002"},{"key":"bibr4-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200005183422006"},{"key":"bibr5-1971400916678246","doi-asserted-by":"publisher","DOI":"10.4103\/0971-3026.130697"},{"key":"bibr6-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2010.01.014"},{"key":"bibr7-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2009.201764"},{"key":"bibr8-1971400916678246","doi-asserted-by":"publisher","DOI":"10.4103\/0972-2327.107719"},{"issue":"5","key":"bibr9-1971400916678246","first-page":"1","volume":"3","author":"Rao CR","year":"2014","journal-title":"Global J Med Public Health"},{"key":"bibr10-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.1996.sp021305"},{"key":"bibr11-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1097\/00005072-199601000-00011"},{"key":"bibr12-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199408183310704"},{"key":"bibr13-1971400916678246","first-page":"420","volume":"2","author":"Kashinkunti M","year":"2014","journal-title":"Sch J Med Case Rep"},{"key":"bibr14-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-200209000-00028"},{"key":"bibr15-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1016\/S0150-9861(06)77268-6"},{"key":"bibr16-1971400916678246","first-page":"1149","volume":"22","author":"Kim J","year":"2001","journal-title":"Am J Neuroradiol"},{"key":"bibr17-1971400916678246","first-page":"1144","volume":"19","author":"Ogura H","year":"1998","journal-title":"Am J Neuroradiol"},{"key":"bibr18-1971400916678246","first-page":"704639","volume":"2012","author":"Yamada H","year":"2012","journal-title":"Case Rep Neurol Med"},{"key":"bibr19-1971400916678246","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000221726.41727.06"}],"container-title":["The Neuroradiology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1971400916678246","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1971400916678246","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1971400916678246","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:33:22Z","timestamp":1777588402000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1971400916678246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,6]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1177\/1971400916678246"],"URL":"https:\/\/doi.org\/10.1177\/1971400916678246","relation":{},"ISSN":["1971-4009","2385-1996"],"issn-type":[{"value":"1971-4009","type":"print"},{"value":"2385-1996","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,6]]}}}