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    Hypermagnesemic pseudocoma

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    Authors
    Rizzo, Marco A.
    Fisher, Marc
    Lock, J. Paul
    UMass Chan Affiliations
    Department of Neurology
    Document Type
    Journal Article
    Publication Date
    1993-05-10
    Keywords
    Adult
    Brain Diseases
    Brain Stem
    Coma
    Diabetes Mellitus, Type 1
    Diabetic Ketoacidosis
    Diagnosis, Differential
    Female
    Hernia
    Humans
    *Iatrogenic Disease
    Infusions, Intravenous
    Magnesium
    Magnesium Sulfate
    Medication Errors
    Syndrome
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    Link to Full Text
    http://archinte.jamanetwork.com/data/Journals/INTEMED/17251/archinte_153_9_009.pdf
    Abstract
    We treated a case of iatrogenic hypermagnesemia that clinically mimicked a central brain-stem herniation syndrome. Hypermagnesemia (magnesium level, 9.85 mmol/L [24 mg/dL]) can cause parasympathetic blockade, inducing fixed and dilated pupils, in addition to neuromuscular blockade. Extreme hypermagnesemia can therefore mimic a midbrain syndrome and cause a pseudocomatose state.
    Source
    Arch Intern Med. 1993 May 10;153(9):1130-2.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/37811
    PubMed ID
    8481079
    Related Resources
    Link to article in PubMed
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    UMass Chan Faculty and Researcher Publications

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