Table 1.
Demographic and clinical characteristics of CPM patients
No. |
Age |
Sex |
AQP1/4 tissue |
Brief history |
Probable cause/ |
---|---|---|---|---|---|
|
(years) |
|
immunoreactivity* |
|
underlying cause of |
CPM | |||||
1 |
56 |
M |
0 |
Alcoholism; nausea and vomiting 1 week; hyponatremia, abnormal liver function tests; presented to Emergency Room in cardiorespiratory arrest. |
Rapid correction of hyponatremia |
2 |
53 |
M |
0 |
Depression and chronic obstructive pulmonary disease. Not seen for 4 days; found dehydrated and malnourished; drug and alcohol screen negative. |
Dehydration, malnutrition and hypernatremia |
3 |
33 |
M |
0 |
Cryptogenic cirrhosis with antitrypsin heterozygosity; orthotopic liver transplant and hyponatremia followed by progressive obtundation and seizures. |
Orthotopic liver transplant |
4 |
45 |
M |
0 |
Small-cell lung carcinoma, metastatic to liver; abnormal liver function tests; possible malnutrition; hyperkalemia; several syncopal episodes in preceding hours; presented with respiratory failure. |
SIAD secondary to small-cell lung carcinoma |
5 |
24 |
F |
↑ |
Hepatic failure and autoimmune thrombocytopenic purpura, 6 months; altered consciousness level and nonconvulsive status epilepticus 5 weeks before death; hypocalcemia, hyperammonemia and elevated liver enzymes. |
Hepatic failure and hypocalcemia |
6 | 68 | F | ↑ | Hypertension, obesity, diabetes mellitus, hyperuricemia and remote endometrial carcinoma (treated by resection, chemotherapy, and radiotherapy); presented with gangrene of the right fifth toe; generalized seizure followed by unresponsiveness. | Diabetes mellitus type II |
*0 = absent; ↑ = increased.