Recovery from a Complicated Case of Central Pontine and Extrapontine Myelinolysis by Dopaminergic Treatment: One-Year Follow-up: A Case Report
Brain & Neurorehabilitation
;
: 126-130, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-65141
ABSTRACT
Central pontine and extrapontine myelinolysis are well-recognized osmotic demyelination syndromes related to the rapid correction of hyponatremia, chronic alcoholism, and malnutrition. They are reported to show brain stem signs and various movement disorders. A 58-year-old man with a history of chronic alcoholism was admitted for dysarthria, dysphagia, and gait disturbance that had developed five days after a right forearm cellulitis. Magnetic resonance imaging revealed demyelinating patterns in the central portion of the pons and both thalami. He showed severe extrapyramidal symptoms with truncal swaying and postural instability that resulted in severe gait disturbance. Postural instability showed little improvement after conventional physical therapy, but his symptoms markedly improved after five days of dopamine administration. Cessation of dopamine agents was attempted two times, but postural instability and gait disturbance recurred. Therefore, medication was continued for one year. The patient showed stable gait and no further deterioration of postural instability during dopamine therapy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Tronco Encefálico
/
Ponte
/
Imageamento por Ressonância Magnética
/
Dopaminérgicos
/
Transtornos de Deglutição
/
Dopamina
/
Celulite (Flegmão)
/
Seguimentos
/
Doenças Desmielinizantes
/
Mielinólise Central da Ponte
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Brain & Neurorehabilitation
Ano de publicação:
2014
Tipo de documento:
Artigo
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