Pdf mielinolisis pontina central e hiponatremia perioperatoria. Central pontine myelinolysis radiology reference article. Mielinolisis extrapontina en paciente con hipernatremia. All structured data from the file and property namespaces is available under the creative commons cc0 license. Chronic hyperglycaemia drew metabolic and haemodynamic derangements, such as. Clinical analysis of central pontine myelinolysis after. A mielinolise pontina central mpc e uma doenca desmielinizante aguda. Dosing, administration, and a treatment algorithm for use. Pdf mielinolisis central pontina en trasplante hepatico.
Chronic alcoholism or rapid correction of hyponatremia was present in over 75% of cases. Central pontine myelinolysis cpm is a neurological condition involving severe damage to the myelin sheath of nerve cells in the pons an area of the brainstem. The importance of magnetic resonance imaging in diagnosis. Ruizmiyares and others published hyponatraemia, pontine myelinolysis and rhabdomyolysis find, read and cite all the research you need on researchgate. Central pontine myelinolysis is a rare neurological alteration, of unknown etiology, which is observed mainly in alcoholic chronic patients or with chronic diseases. Mediators of inammation theprevalenceofanyretinopathyindiabeticpatientsismore than %.
Pdf hyponatraemia, pontine myelinolysis and rhabdomyolysis. Leucemia mieloide cronica e neoplasie mieloproliferative croniche ph negative i tumori ematologici. Pdf central pontine myelinolysis is a demyelinating lesion in the basis pontis which in most cases is caused by a rapid correction of hyponatremia. There is a controversy wheter central pontine myelinolysis can complicate either hyponatremia or its rapid correction.
Convulsiones, estado mental alterado mielinolisis pontina central 82. As such the condition is described in the osmotic demyelination syndrome article. Central pontine and extrapontine myelinolysis after correction of severe hypoglycemia. Central pontine myelinolysis cpm is the most severe neurological complication after liver transplantation and apparently is not. We analyzed the clinical feature, diagnosis and treatment of 4 cpm cases and then compared them with 26 cpm cases reported between 2000 and 2010. Files are available under licenses specified on their description page. It is predominately iatrogenic treatmentinduced, and is characterized by acute paralysis, dysphagia difficulty swallowing, dysarthria difficulty speaking, and other neurological symptoms. To discuss the etiology, diagnosis and treatment of central pontine myelinolysis cpm by analyzing 4 cases of our center and 26 cases reported by others in our country. Brin, md, and the spasticity study group rationale botulinum toxin type a btxa is an effective treatment for focal or segmental muscle.
Sequential observation of movements disorders and brain images in the case of central pontine myelinolisis and extrapontine myelinolsis. Central pontine myelinolysis cpm is now more commonly referred to as osmotic demyelination syndrome, which recognizes that the same phenomenon is also seen in other areas of the brain previously known as extrapontine myelinolysis. Mielinolisis extrapontina secundaria a hiponatremia por crisis. Early diagnosis of central pontine myelinolysis with diffusionweighted imaging. Central pontine myelinolysis as a complication of the disease due to burns.
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