Central Pontine and EXtrapontine Myelinolysis
Journal of the Korean Medical Association
;
: 1329-1335, 2001.
Artigo
em Coreano
| WPRIM
| ID: wpr-90510
ABSTRACT
The knowledge about nutritional, toxic, and metabolic causes of dementia is particularly important, because they may be reversible. Central pontine myelinolysis(CPM) is one of these causes. CPM is a well known but rare metabolic disease of unknown etiology linked to overly aggressive correction of hyponatremia. We report a 74-year-old woman who developed disorientation, memory disturbance, and behavioral problem following intensive care unit management for pneumonia. Mini-mental status examination-Korean version(MMSE-K) study revealed severe cognitive dysfunction. Brain magnetic resonance imaging showed changes consistent with CPM and extrapontine myelinolysis. After supportive care, patient's clinical status was significantly improved. We suggest that a metabolic problem such as CPM should be considered in the diagnosis of acute or subacute cognitive deterioration in elderly patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Mielinólise Central da Ponte
/
Demência
/
Diagnóstico
/
Comportamento Problema
/
Hiponatremia
/
Unidades de Terapia Intensiva
/
Memória
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Medical Association
Ano de publicação:
2001
Tipo de documento:
Artigo
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