Central pontine myelinolysis in the hyperosmolar hyperglycaemic state
Medical Principles and Practice. 2013; 22 (1): 96-99
Dans Anglais
| IMEMR
| ID: emr-125972
ABSTRACT
To report a rare association of central pontine myelinolysis [CPM] with hyperosmolar hyperglycaemic state [HHS]. A diabetic female presented with HHS and prolonged severe hypernatraemia. The metabolic derangement was adequately treated with proper correction of both hyperglycaemia and hypernatraemia. Lack of improvement in the presenting confusional state and the development of a fresh neurological deterioration led to the suspicion of CPM that was confirmed with magnetic resonance imaging. She fully recovered after 4 weeks with no specific medical treatment. This case report showed that osmotic demyelination was linked to hypernatraemia and that CPM could result from severe hypernatraemia of HHS
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Indice:
Méditerranée orientale
Sujet Principal:
Maladies démyélinisantes
/
Diabète
/
Coma hyperosmolaire hyperglycémique non cétosique
Type d'étude:
Enquête cas-témoins / Études cas/témoins
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Med. Princ. Pract.
Année:
2013
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