Asymptomatic Extrapontine Myelinolysis in Diabetic Woman
Journal of the Korean Geriatrics Society
;
: 236-238, 2005.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Quadriplegia
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Sistema Nervoso Central
/
Infarto Cerebral
/
Coreia
/
Mielinólise Central da Ponte
/
Ducto Colédoco
/
Transtornos Parkinsonianos
/
Paralisia Pseudobulbar
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Geriatrics Society
Ano de publicação:
2005
Tipo de documento:
Artigo
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