Preoperative Extrapontine Myelinolysis with Good Outcome in a Patient with Pituitary Adenoma
Journal of Korean Neurosurgical Society
;
: 161-164, 2016.
Article
in English
| WPRIM
| ID: wpr-95380
ABSTRACT
Few preoperative extrapontine myelinolysis (EPM) cases with pituitary adenoma have been reported. No such case had long follow-up to see the outcome of EPM. We reported a 38-year-old man complaining of nausea, malaise and transient loss of consciousness who was found to have severe hyponatremia. Neurologic deficits including altered mental status, behavioral disturbances, dysarthria and dysphagia developed despite slow correction of hyponatremia. Endocrine and imaging studies revealed hypopituitarism, nonfunctional pituitary macroadenoma and extrapontine myelinolysis. Transsphenoidal surgery was performed after three weeks of supportive therapy, when neurological symptoms improved significantly. The patient recovered function completely 3 months after surgery. Our case indicates that outcome of EPM can be good even with prolonged periods of severe neurologic impairment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pituitary Neoplasms
/
Unconsciousness
/
Deglutition Disorders
/
Follow-Up Studies
/
Myelinolysis, Central Pontine
/
Dysarthria
/
Hyponatremia
/
Hypopituitarism
/
Nausea
/
Neurologic Manifestations
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2016
Type:
Article
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