Mielinolisis pontina pdf file download

Antemortem computed tomography ct had been performed in nine, and ante or postmortem magnetic resonance mr imaging in 11. Extrapontine myelinolysis is an acute unusual process, included in demyelinating syndromes of metabolic etiology, which differentiate from central pontine myelinolysis, by affecting other brain areas with clinical manifestation such as dystonia, catatonia, postural tremor, myoclonic spasm, parkinsonism or pyramidal sings. Differences between multiple sclerosis and other aetiologies. Brin, md, and the spasticity study group rationale botulinum toxin type a btxa is an effective treatment for focal or segmental muscle. Extrapontine osmotic myelinolysis is a rare nervous system complication. We describe demographics, clinical presentation, and early magnetic resonance imaging mri findings.

Pdf mielinolisis pontina central e hiponatremia perioperatoria. The original patient population included only chronic alcoholics. Central pontine myelinolysis is a rare neurological alteration, of unknown etiology, which is observed mainly in alcoholic chronic patients or with chronic diseases. As such the condition is described in the osmotic demyelination syndrome article. Both are mostly associated with fast or excessive corrections of. Enzyme immunoassay for the quantitative determination of prolactin concentration in human serum. Dosing, administration, and a treatment algorithm for use. Files are available under licenses specified on their description page.

These findings were suggestive of central pontine and extrapontine myelinolysis. Hospital universitario san cecilio luis gutierrezrojas at university of granada. Central pontine myelinolysis radiology reference article. 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. Symptoms of this malady were presented during the clinical examination of a 49yearold. Docdocx viewer integrated best pdf reader for 2020 an app thats multipurpose and flexible in nature that not as it were a. It is predominately iatrogenic treatmentinduced, and is characterized by acute paralysis, dysphagia difficulty swallowing, dysarthria difficulty speaking, and other neurological symptoms. Pontine and extrapontine myelinolysis secondary to glycemic. Human tooth, mouth, medical specialties, wellness, medicine. Value of diffusionweighted imaging in central pontine and.

The importance of magnetic resonance imaging in diagnosis. 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. Central pontine myelinolysis cpm and extrapontine myelinolysis epm are rare neurological disorders characterized by demyelination in andor outside the pons. All structured data from the file and property namespaces is available under the creative commons cc0 license.

Mielinolisis osmotica extrapontica revista biomedica. This condition, however, has also been found in the malnourished, transplant recipients, or chronically debilitated patients,in particular, those in whom electrolyte. Whether diffusionweighted imaging dwi might facilitate an earlier diagnosis has not yet been studied systematically. Central pontine myelinolysis cpm was first termed in 1959 by adams to describe a symmetric, demyelinating focus prominent in the central pons. Chronic alcoholism or rapid correction of hyponatremia was present in over 75% of cases. Convulsiones, estado mental alterado mielinolisis pontina central 82. Leucemia mieloide cronica e neoplasie mieloproliferative croniche ph negative i tumori ematologici.