Extrapontine myelinolysis: rare manifestation of a well-known disorder

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Extrapontine myelinolysis: rare manifestation of a well-known disorder.

To cite: Wadhwa J, Ananthakrishnan R, Sadashiv S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200808 DESCRIPTION A young alcoholic male patient was referred from another hospital with a history of loose stools and vomitings. There was documentation of hyponatraemia (Na-111 mEq/L) which was treated with intravenous normal saline. Next day, sodium was...

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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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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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Isolated extrapontine myelinolysis of osmotic demyelination syndrome.

The osmotic demyelination syndrome (ODS) has been identified as a complication of the rapid correction of hyponatremia for decades (King and Rosner, 2010). However, in recent years, a variety of other medical conditions have been associated with the development of ODS, independent of changes in serum sodium which cause a rapid changes in osmolality of the interstitial (extracellular) compartmen...

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Extrapontine myelinolysis presenting as acute parkinsonism

BACKGROUND Extrapontine myelinolysis presenting with extra pyramidal features suggestive of parkinsonism may be a challenging clinical syndrome. Clinicians should maintain their vigilance while correcting electrolyte imbalances, especially with associated co-morbidity. CASE PRESENTATION A 41-year-old woman presented with acute parkinsonism like features while on a holiday. This followed slow ...

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ژورنال

عنوان ژورنال: Case Reports

سال: 2013

ISSN: 1757-790X

DOI: 10.1136/bcr-2013-200808