A 4-year-old boy was seen in an emergency department after 3 days of vomiting and watery diarrhea. After his sodium level decreased from 136 to 118 mEq/L, he had a seizure, resulting in respiratory arrest, and required mechanical ventilation. His sodium level increased to 128 mEq/L with rehydration, but he developed “locked-in syndrome.”
His initial magnetic resonance image revealed increased signal lesions in the left pons, right basal ganglia region, and both medial temporal lobes (Figure).
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Magnetic resonance imaging (MRI) findings. A, The T1-weighted axial plane MRI shows subtle left pontine swelling (arrow). B, The pontine lesion (arrow) is more obvious on a T2-weighted sequence. C, A coronal T1-weighted MRI with gadolinium contrast demonstrates an enhancing putaminal lesion (curved arrow) in addition to the medial temporal lesions (arrows). D, And a T1-weighted axial plane MRI with gadolinium contrast shows a ring-enhancing lesion in the left pons (arrow).
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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