SCHIZOPHRENIALIKE PSYCHOSIS WITH POLYDIPSIA AND ELECTROLYTE DECOMPENSATION IN MULTIPLE-SCLEROSIS

We present the case report of a young woman who suffered from schizoph renialike psychosis leading to polydipsia and consequent water intoxic ation. Because of progressive somnolence and epileptic seizures therap y on the intensive care unit became necessary. Findings of MRI and cer ebrospinal fluid were consistent with the diagnosis of chronic inflamm atory disease of the central nervous system. As other possible causes could be excluded, multiple sclerosis seemed to be most probable. Simu ltaneous incidence of schizophrenia and multiple sclerosis and the dif ferential diagnosis of central pontine myelinolysis following hyponatr emia are discussed.