Locked-in Syndrome due to Central Pontine Myelinolysis: Case Report
Annals of Rehabilitation Medicine
;
: 702-706, 2014.
Article
in English
| WPRIM
| ID: wpr-226144
ABSTRACT
Central pontine myelinolysis (CPM) classically occurs in alcoholics, malnourished individuals, chronic liver diseases, and rapid correction of hyponatremia. This report presents locked-in syndrome due to CPM following rapid correction of hyponatremia. A 44-year-old male came to the hospital due to a short period of loss of consciousness. He was alert and had no focal neurological abnormalities at admission. The serum sodium concentration was 118 mEq/L and was corrected to 134 mEq/L in the first 18 hours. One week later, progressive weakness in limbs developed and he progressed to a complete quadriplegic state and bulbar palsy, with only eye blinking preserved. Brain magnetic resonance imaging revealed a characteristic hyperintense signal abnormality in both pons, so he was diagnosed to locked-in syndrome caused by CPM. The patient gradually improved following continuous intensive rehabilitation for more than 2 years. He was able to move all joint muscles against gravity in generally and he could gait under supervision.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Organization and Administration
/
Bulbar Palsy, Progressive
/
Quadriplegia
/
Rehabilitation
/
Sodium
/
Unconsciousness
/
Blinking
/
Brain
/
Pons
/
Magnetic Resonance Imaging
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2014
Type:
Article
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