Asymptomatic Extrapontine Myelinolysis in Diabetic Woman
Journal of the Korean Geriatrics Society
;
: 236-238, 2005.
Article
in Korean
| WPRIM
| ID: wpr-61044
ABSTRACT
Osmotic myelinolysis syndrome in central nervous system is classified into central pontine myelinolysis(CPM) and extrapontine myelinolysis(EPM). The former can cause a spastic quadriplegia, pseudobulbar palsy, and varying degree of mental disorder, but the latter a movement disorder(tremor, dystonia, parkinsonism, and chorea, etc), behavior change(mood instability, personality change, agitated delirium, and disinhibition, etc), and cognitive dysfunction. Although a few cases of asymptomatic CPM have been reported, asymptomatic EPM were rare. A 67-year-old woman with diabetes mellitus and old cerebral infarction has suffered from the common bile duct stone. She had hyponatremia(Na=126mEq/L) on admission and was corrected rapidly. Incidental findings of her brain MRI showed EPM. We experienced a case of bilateral middle cerebellar peduncle myelinolysis incidentally without neurological presentations and report a rare case of asymptomatic EPM recoverd in diabetic woman after rapid correction of hyponatremia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quadriplegia
/
Brain
/
Magnetic Resonance Imaging
/
Central Nervous System
/
Cerebral Infarction
/
Chorea
/
Myelinolysis, Central Pontine
/
Common Bile Duct
/
Parkinsonian Disorders
/
Pseudobulbar Palsy
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Geriatrics Society
Year:
2005
Type:
Article
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