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British Journal of Radiology (2008) 81, e57-e60
© 2008 British Institute of Radiology
doi: 10.1259/bjr/28766369

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Case report

Hypernatraemic dehydration in a neonate: brain MRI findings

H MUSAPASAOGLU, MD 1 A MUHTESEM AGILDERE, MD 1 M TEKSAM, MD 1 A TARCAN, MD 2 and B GURAKAN, MD 2

Departments of 1 Radiology and 2 Pediatrics, Faculty of Medicine, Baskent University Ankara, Turkey

Correspondence: Hale Musapasaoglu, MD, Baskent University Medical Faculty, Department of Radiology, Fevzi Cakmak Cad 10.sok No:45, Bahcelievler-Ankara 06490 Turkey. E-mail: hmusapasaoglu{at}yahoo.com

Severe hypernatremic dehydration can cause serious neurological complications in neonates. The most significant problems include brain oedema, intracranial haemorrhage, sinus thrombosis, haemorrhagic infarcts and permanent brain damage. The symptoms of many of these complications are similar. With respect to brain MRI findings in hypernatremic neonates, this is a report that describes linear lesions that represent intracranial haemorrhage at the grey–white matter junction. These MRI findings may be helpful for diagnosing hypernatremic dehydration, and for ruling out differential diagnoses for complications of this disorder.







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