ABSTRACT
Os autores relatam um caso de paciente apresentando evolução favorável após confirmado diagnóstico de síndrome de desmielinização osmótica (mielinólise pontina central e extrapontina) através de exame de ressonância magnética.
The authors report a case of a patient with favorable outcome after diagnosis of osmotic demyelination syndrome (central pontine and extrapontine myelinolysis) confirmed by magnetic resonance imaging.
Subject(s)
Humans , Female , Middle Aged , Antidepressive Agents , Brain , Hyponatremia , Myelinolysis, Central Pontine/diagnosis , Myelinolysis, Central Pontine/pathology , Magnetic Resonance Imaging , Tomography, X-Ray ComputedABSTRACT
A case of central pontine myelinolysis following hypoglycemia is reported. The case was a 26- year-old female. Diabetes mellitus was found when she was 8 years old and she has hypertension and renal failure. She suffered a severe hypoglycemia at an unknown time. After the episode she developed a vegetative state. A magnetic resonance scan showed features consistent with the presence of central pontine myelinolysis.
Subject(s)
Humans , Female , Pregnancy , Adult , Puerperal Disorders , Persistent Vegetative State , Diabetes Mellitus, Type 1 , Hypoglycemia , Myelinolysis, Central Pontine/etiology , Apnea , Puerperal Disorders , Hypoxia, Brain , Fetal Death , Insulin , Cerebral Cortex/pathology , Cerebral Cortex , Pregnancy in Diabetics , Myelinolysis, Central Pontine/diagnosis , Myelinolysis, Central Pontine/pathology , Heart Arrest/etiology , Heart Arrest/therapyABSTRACT
Tha case of a 55 year old man who presented with severe global headache 8 hours after having been drinking heavily, and who over a two hour period developed deep coma and flaccid paralysis of all four extremities is reported. A CT scan of the brain was normal; however, on Magnetic Resonance Imaging (MRI) extensive hyperintense areas in the brain stem, mainly in the pons, were easily identified. Based upon the clinical and MRI findings a diagnosis of Central Pontine Myelinolysis was made. Following several months of supportive therapy the patient partially recovered and was able to leave the hospital.