Central pontine myelinolysis scenario the CPM is caused by polydipsia leading to low blood sodium levels (hyponatremia). In schizophrenic patients with psychogenic polydipsia, inadequate thirst reception leads to excessive water intake, severely diluting serum sodium. With this excessive thirst combined with psychotic symptoms, brain damage such as CPM may result from hyperosmolarity caused by excess intake of fluids, (primary polydipsia) although this is difficult to determine because such patients are often institutionalised and have a long history of mental health conditions. It has been observed following hematopoietic stem cell transplantation. CPM may also occur in patients prone to hyponatraemia affected by: The currently
Department of Defense Serum Repository of the leaked documents' appearance on WikiLeaks, the lead author of the unpublished RAND study published an op-ed piece in "The Baltimore Sun" describing the control of the outbreak a concern of "national security", and highlighting the need to "marshal the best ... institutional strengths ... to prevent, detect and respond effectively to this latest infectious disease". Department of Defense Serum Repository The Department of Defense Serum Repository (also referred to as the DoD Serum Repository or simply DoDSR) is a biological repository operated by the United States Department of Defense containing over 50,000,000 human serum specimens, collected primarily from