Serum sodium raised to 120 meql at the next day and the level of consciousness improved. A magnetic resonance imaging showed a central and symmetrical pontine lesion on t1 and t2 weighed images. Mielinolisis central pontina cerebro y neurociencia. We report a 69 years old woman with a history of one month of vertigo, nausea. Mielinosis pontina central sin hiponatremia enfermedades y. Parkinsonismo secundario a mielinolisis extrapontina.
Mielinolisis central pontine binipatia e higienismo. Mielinolisis pontina central e hiponatremia perioperatoria. At the 4th day of admission, the patient was again stuporous and with spastic quadriplegia. Mielinolisis extrapontina secundaria a hiponatremia por. 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.
Mielinolisis central pontina en trasplante hepatico. Os achados na ressonancia magnetica cerebral foram compativeis com o diagnostico. Pdf central pontine myelinolysis is a demyelinating lesion in the basis pontis which in most cases is caused by a rapid correction of hyponatremia. Sequential observation of movements disorders and brain images in the case of central pontine myelinolisis and extrapontine myelinolsis.