Central pontine myelinolysis: a rare presentation secondary to hyperglycaemia
Singapore medical journal
;
: e71-3, 2015.
Article
in English
| WPRIM
| ID: wpr-337157
ABSTRACT
Central pontine myelinolysis (CPM) is classically described as a demyelinating condition that results from the rapid correction of hyponatraemia. CPM has also been reported to arise from hyperglycaemia in association with concomitant acidosis, hypernatraemia and hyperosmolar syndrome. Herein, we report a rare presentation of CPM, which was purely secondary to hyperosmolar hyperglycaemia. The patient presented with ataxia and pseudobulbar affect, which evolved subacutely over a duration of two weeks. It is important to note that, in addition to acute changes in osmolality, a subacute shift secondary to hyperglycaemia may also lead to CPM.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Magnetic Resonance Imaging
/
Tomography, X-Ray Computed
/
Myelinolysis, Central Pontine
/
Diagnosis
/
Diagnosis, Differential
/
Hyperglycemia
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Singapore medical journal
Year:
2015
Type:
Article
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