Central pontine and extrapontine myelinolysis: report of a case with a tragic outcome
J. pediatr. (Rio J.)
;
82(2): 157-160, Mar.-Apr. 2006. ilus, graf
Article
Dans Anglais
| LILACS
| ID: lil-428497
ABSTRACT
OBJECTIVE:
To report a pediatric case of central pontine and extrapontine myelinolysis, a rare neurological disease often associated with rapid correction of hyponatremia.DESCRIPTION A 15 year-old female adolescent developed locked-in syndrome during severe hyponatremia. Brain magnetic resonance imaging was consistent with the diagnosis of central pontine and extrapontine myelinolysis.COMMENTS:
Serum sodium correction should proceed slowly and cautiously, based upon a careful calculation of sodium deficit, in order to minimize metabolic stress and avoid the occurrence of this dreadful complication, which has a tragic outcome in most cases. There is no scientifically proved effective treatment for myelinolysis, and severe cases usually have a dismal prognosis.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Myélinolyse centropontine
/
Hyponatrémie
Type d'étude:
Etude d'étiologie
/
Étude pronostique
Limites du sujet:
Adolescent
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
J. pediatr. (Rio J.)
Thème du journal:
Pédiatrie
Année:
2006
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Clínica Multi-Imagem Ressonância Magnética/BR
/
Universidade Federal Fluminense/BR
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