Catatonic stupor in a case of pontine and extrapontine myelinolysis: Clinical and radiological dissociation

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Catatonic stupor in a case of pontine and extrapontine myelinolysis: clinical and radiological dissociation.

243 ! In conclusion, in countries located in the thalassemia belt, it is important to first educate the involved parties about the significance of thalassemia, then to emphasize over and over again the priority of the automated blood counts in detecting the carriers, then educate people regarding the meaning of the abnormal red cell parameters on automated blood counts. Also one has to keep in ...

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Dystonia in central pontine myelinolysis without evidence of extrapontine myelinolysis.

A 44-year-old female is described who developed persistent upper extremity and orolingual dystonia several weeks after suspected onset of central pontine myelinolysis (CPM), later confirmed by characteristic pontine lesions on MRI. No foci of the extrapontine myelinolysis were evident. This case confirms that dystonia may be a late and persistent sequela of CPM and may occur in the absence of v...

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Thalamic extrapontine lesions in central pontine myelinolysis.

Central pontine myelinolysis (CPM) is a well-known entity first described by Adams et al. in 1959 [1). This demyelinating disorder is associated with electrolyte disturbances (particularly of sodium) and typically occurs in the setting of alcoholism and malnutrition . Extrapontine myelinolysis (EPM) is identified pathologically in about 53% of cases [2] and, of these, thalamic lesions are detec...

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Neuropsychological Findings of Extrapontine Myelinolysis without Central Pontine Myelinolysis

Central pontine myelinolysis (CPM) and extrapontine myelinolysis (EPM) are well recognized syndromes related to the rapid correction of hyponatremia, which are reported to show brain stem signs and various movement disorders. Cognitive dysfunction and neuropsychological findings, however, have seldom been reported. Cognitive manifestations in osmotic myelinolysis may have been underestimated du...

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Parkinsonism and dystonia in central pontine and extrapontine myelinolysis.

Parkinsonism as well as dystonic signs are rarely seen in central pontine myelinolysis and extrapontine myelinolysis. A 51 year old woman developed central pontine myelinolysis and extrapontine myelinolysis with parkinsonism after severe vomiting which followed alcohol and drug intake, even though marked hyponatraemia had been corrected gradually over six days. Parkinsonism resolved four months...

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ژورنال

عنوان ژورنال: Journal of Postgraduate Medicine

سال: 2008

ISSN: 0022-3859

DOI: 10.4103/0022-3859.41821