Central Pontine Myelinolysis Induced by Alcohol Withdrawal: A Case Report
Annals of Rehabilitation Medicine
;
: 148-152, 2017.
Article
in English
| WPRIM
| ID: wpr-37426
ABSTRACT
Central pontine myelinolysis (CPM) is a demyelinating disorder characterized by the loss of myelin in the center of the basis pons, and is mainly caused by the rapid correction of hyponatremia. We report the case of a young woman who presented with gait disturbance and alcohol withdrawal, and who was eventually diagnosed with CPM. Generally, the cause and pathogenesis of CPM in chronic alcoholics remain unclear. In this cases, the CPM may be unrelated to hyponatremia or its correction. However, it is possible that the osmotic pressure changes due to refeeding syndrome after alcohol withdrawal was the likely cause in this case. This case illustrates the need for avoiding hasty, and possibly incomplete diagnoses, and performing more intensive test procedures to ensure a correct diagnosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osmotic Pressure
/
Pons
/
Demyelinating Diseases
/
Myelinolysis, Central Pontine
/
Diagnosis
/
Refeeding Syndrome
/
Alcoholics
/
Gait
/
Hyponatremia
/
Myelin Sheath
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2017
Type:
Article
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