Title
Hypermagnesemic pseudocoma
UMMS Affiliation
Department of Neurology
Date
5-10-1993
Document Type
Article
Subjects
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
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.
Rights and Permissions
Citation: Arch Intern Med. 1993 May 10;153(9):1130-2.
Related Resources
PubMed ID
8481079
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