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  1. Thiamine Deficiency and Associated Clinical Disorders (Contemporary Clinical Neuroscience) by David W. McCandless, 2009-09-15

21. Early Diagnosis Of Central Pontine Myelinolysis With
Early Diagnosis of central pontine myelinolysis with DiffusionWeighted Imaging Kimberly A. Ruzeka , Norbert G. Campeaua and Gary M. Millera
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

22. Metabolic Disorders: Central Pontine Myelinolysis, Marchiafava-Bignami Disease
Neuropathology of MarchiafavaBignami Disease and central pontine myelinolysis.
http://www.neuropat.dote.hu/alcoh.htm
Metabolic Disorders Marchiafava-Bignami disease Case 1 Case 2 Related Internet Resources
  • MRI Images - University of Florida, US
  • Central pontine myelinolysis Case 1 Related Internet Resources
  • Myelinolysis after Correction of Hyponatremia, Annals of Internal Medicine, 1997, 126:57-62
  • Other Resources var site="sm5hegeduskdote" Last modified: February 17, 2001
    If you have any comments, please, contact Neuroanatomy Structures Online Neuropathology Atlas Internet Handbook of Neurology

    23. Demyelinating Diseases - Internet Handbook Of Neurology
    central pontine myelinolysis. central pontine myelinolysis eMedicine/Neurology;central pontine myelinolysis - Singapore Med J 2000; Vol 41(1)
    http://www.neuropat.dote.hu/myelin.htm
    Internet Handbook of Neurology Compiled by
    K atalin H
    Department of Neurology
    University of Debrecen, Hungary Demyelinating
    Diseases Chapters:
    A Collection of High Quality Online Resources for Health Professionals Pathology see Pathology of Infectious Diseases and Disease of Myelin Overview Multiple Sclerosis

    24. Central Pontine Myelinolysis - Washington DC
    central pontine myelinolysis Washington Hospital Center is located in Washington DC.
    http://www.whcenter.org/14613.cfm
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    Central pontine myelinolysis
    Definition: Central pontine myelinolysis is nerve damage caused by the destruction of the layer ( myelin sheath ) covering nerve cells in the brainstem (pons).
    Alternative Names: CPM
    Causes, incidence, and risk factors: The destruction of the myelin sheath that coats nerve cells prevents signals from being properly conducted within the nerve. This decreases its ability to communicate with other cells. The most common cause of central pontine myelinolysis is a rapid, drastic change in sodium levels in the body. Most commonly, this occurs when someone is being treated for low levels of sodium ( hyponatremia ) and the levels rise too fast. It also can occasionally occur when high levels of sodium in the body (hypernatremia) are corrected too quickly. This condition does not occur on its own. It is a complication of treatment for other conditions or the other conditions themselves. People at risk include those with low sodium levels from any cause

    25. ► Central Pontine Myelinolysis
    A medical encycopedia article on the topic central pontine myelinolysis.
    http://www.umm.edu/ency/article/000775.htm
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    Central pontine myelinolysis
    Overview Symptoms Treatment Prevention Definition: Central pontine myelinolysis is a condition characterized by nerve damage caused by the destruction of the covering layer ( myelin sheath) of nerve cells in the brainstem (pons).
    Alternative Names: CPM
    Causes, incidence, and risk factors: The destruction of the myelin sheath that coats nerves inhibits impulse conduction within the cell and thus decreases its ability to communicate with other cells. The most common cause of central pontine myelinolysis is a rapid, drastic change in sodium levels in the body. Most commonly, this occurs when someone is being treated for low levels of sodium ( hyponatremia ) and the levels rise too fast, but it can occasionally occur when high levels of sodium in the body (hypernatremia) are corrected too quickly. This condition does not occur spontaneously; it is a complication of either treatment for other conditions or the other conditions themselves. Risks include hyponatremia from any cause.

    26. ► Central Pontine Myelinolysis
    A medical encycopedia article on the topic central pontine myelinolysis.
    http://www.umm.edu/ency/article/000775trt.htm
    var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury ... Encyclopedia (English)
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    Central pontine myelinolysis
    Overview Symptoms Treatment Prevention Alternative Names: CPM
    Treatment: This is an emergency disorder that requires hospitalization for initial diagnosis and treatment. There is no known cure for central pontine myelinolysis and treatment is focused on relieving symptoms.
    Double vision
    may be reduced with the use of an eye patch.
    Physical therapy may help maintain muscle strength, mobility and function in weakened arms and legs.
    Expectations (prognosis): The neurologic damage caused by central pontine myelinolysis is usually persistent. The disorder can cause serious chronic disability.
    Complications:
    • Permanent neurologic losses Decreased ability to work or care for self Decreased ability to interact with others

    Calling your health care provider: Go to the emergency room or call the local emergency number (such as 911) if seizures muscle weakness , or other symptoms of central pontine myelinolysis occur.
    Central nervous system
    Review Date: 7/28/2002
    Reviewed By: Elaine T. Kiriakopoulos, M.D., MSc, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard University, Boston, MA. Review provided by VeriMed Healthcare Network.

    27. Central Pontine Myelinolysis
    Patient medical question and answer from The Neurology and Neurosurgery Forum.Health topic area and articles about traumatic brain injury Topics ,brain,
    http://www.medhelp.org/forums/neuro/messages/30819.html
    Questions in The Neurology Forum are being answered by doctors from
    The Cleveland Clinic , consistently ranked one of the best hospitals in America.
    Central Pontine Myelinolysis
    Forum: The Neurology and Neurosurgery Forum
    Topic: Traumatic Brain Injury
    Subject: Central Pontine Myelinolysis
    From To Post gsoh
    Her cognitive abilities were not affected albeit minor behavioral change.
    She has improved from assisted standing to self-gait walking (500 meters) over 6 weeks. Able to stand up on her own from a few limited sitting positions. Her right hand is able to hold a small cup of water. Taking a deep breath to hold on is still a difficulty. Rollover on bed is still very difficult. The strongest part of the four limbs at right leg is still having difficulty for coordinated movement.
    She was discharged on 23/8/00 and being 24 hours attended in the home.
    I am obviously more interested to know any chances of speeding up the process of re-myelination before it is too late. I started reading about the myelin reformation. Unfortunately, I cannot find any resources that confirm positively the process in adult brain cells. Nor is there any authority to rule out the process or point to the timing of a brain damage like CPM or other brain disorders.
    I started giving her Omega-3 oil, colloidal form minerals, Vitamin B6, B12. I read about IgG that may act with adult Oligodendroglia for the re-myelination process. So I give her chewable tablets of colostrums which contained high concentration of Immunoglobulin G. All these, being health food supplements, in my mind, should have minimal side effects.

    28. Central Pontine Myelinolysis
    Patient medical question and answer from The Neurology and Neurosurgery Forum.Health topic area and articles about myelin Topics ,pons, brain, stroke.
    http://www.medhelp.org/forums/neuro/messages/30435.html
    Questions in The Neurology Forum are being answered by doctors from
    The Cleveland Clinic , consistently ranked one of the best hospitals in America.
    central pontine myelinolysis
    Forum: The Neurology and Neurosurgery Forum
    Topic: Myelin
    Subject: central pontine myelinolysis
    From To Post Ottilie
    Would like to know if any research is being done on this disease on the brain stem (pons). I have it plus it has caused down beat nystagmus which prevents me from driving. The psychological impact is terrible. I also would like to find someone with this disease. So far I have not. CCF Neuro[P] MD, RPS
    Ottilie Dear Ottilie:
    Central pontine myelinosis is usually results from changes in the osmolarity (electrolyte and protein concentration) in the brain versus the blood stream. The abnormal difference between the two causes the myelin surrounding the nerve processes to become unraveled. This inturn causes dysfunction of the nerves in this area. This is not a disease, but the result from an abnormality.
    Pontine problems can also arise from stroke in the pons. This will give similar symptoms (although much more focal, such as only downbeat mystagmus). If the stroke is large enough, it can cause complete loss of most movement below the eyes.

    29. Accessing Article
    Bone Marrow Transplantation is a high quality, peerreviewed journal coveringall aspects of clinical and basic haemopoietic stem cell transplantation.
    http://www.nature.com/bmt/journal/vaop/ncurrent/full/1705115a.html
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    30. Bone Marrow Transplantation - Abstract Of Article: Central Pontine Myelinolysis
    central pontine myelinolysis following bone marrow transplantation complicatedby severe hepatic venoocclusive disease. C Fraser1, L Charnas2 and P Orchard
    http://www.nature.com/bmt/journal/vaop/ncurrent/abs/1705115a.html
    @import "/common/style/layout.css";/* do not edit this stylesheet */ @import "/common/style/main.css";/* do not edit this stylesheet */ @import "/aj/style/group.css";/* do not edit this stylesheet */ @import "/bmt/style/site.css";/* edit this stylesheet only */ Accessibility statement Jump to main content Jump to main navigation Jump to search ... ABOUT NPG E-MAIL:
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    Bone Marrow Transplantation advance online publication 25 July 2005; doi: 10.1038/sj.bmt.1705115
    Central pontine myelinolysis following bone marrow transplantation complicated by severe hepatic veno-occlusive disease
    C Fraser , L Charnas and P Orchard
  • Pediatric Blood and Marrow Transplant Program, University of Minnesota, MN, USA Division of Pediatric Neurology, University of Minnesota, MN, USA
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    31. Central Pontine Myelinolysis
    a CHORUS notecard document about central pontine myelinolysis.
    http://chorus.rad.mcw.edu/doc/00066.html
    CHORUS Collaborative Hypertext of Radiology Nervous system About CHORUS
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    32. Central Pontine Myelinolysis
    central pontine myelinolysis. toxic demyelination; rapid correction of hyponatremia.low density in central pons. variable size; may have paired,
    http://chorus.rad.mcw.edu/to-go/00066.html
    central pontine myelinolysis

    33. Hyponatremia And Central Pontine Myelinolysis -- Burcar Et Al. 27 (3): 223 -- Ne
    Autopsy in a patient with severe hyponatremia showed central pontine myelinolysis.Review of our patients with central pontine myelinolysis and those
    http://www.neurology.org/cgi/content/abstract/27/3/223
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    ARTICLES
    Hyponatremia and central pontine myelinolysis
    PJ Burcar, MD Norenberg and PR Yarnell
    Autopsy in a patient with severe hyponatremia showed central pontine myelinolysis. Review of our patients with central pontine myelinolysis and those described in the English literature to data disclosed that 61 percent had documented hyponatremia. While the exact mechanism involving hyponatremia and central pontine myelinolysis cannot be defined, a circumstantial relationship is apparent. The purpose of this paper is to emphasize this relationship and to suggest that the possibility of central pontine myelinolysis be considered in any patient with hyponatremia and neurologic dysfunction.

    34. Neurology -- Sign In Page
    Diuretic abuse and central pontine myelinolysis. Psychother Psychosom 1989;52101–105 . central pontine myelinolysis in a patient with bulimia.
    http://www.neurology.org/cgi/content/full/64/12/2156
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    Pontine/extrapontine myelinolysis occurring in the setting of an eating disorder
    Singer et al. Neurology.
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    35. Penn State Faculty Research Expertise Database (FRED)
    central pontine myelinolysis, Extrapontine Myelinolysis. Extrapontine Myelinoclasis,Myelinoclasis, Central Pontine. Pontine Myelinolysis, Central, Central
    http://fred.hmc.psu.edu/ds/retrieve/fred/meshdescriptor/D017590

    36. HighWire -- Browse Journals - Central Pontine Myelinolysis
    Browse Journals publishing on central pontine myelinolysis, (return to Topic List Alphabet, , Frequency of articles in central pontine myelinolysis
    http://highwire.stanford.edu/lists/topic_dir/608683/618131/620438/620972/620985/
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    37. NDI Terminology - Central Pontine Myelinolysis
    NDI Foundation. central pontine myelinolysis. DEFINITION. Definition has yet tobe entered. Check back later. The definitions used in this glossary of
    http://www.ndif.org/Terms/central_pontine_myelinolysis.html
    central pontine myelinolysis
    DEFINITION:
    Definition has yet to be entered. Check back later.
    The definitions used in this glossary of terminology either have been provided by the authors of the articles, or have been extracted wholly or in part, or paraphrased from the following sources: The American Medical Association Encyclopedia of Medicine , Charles B. Clayman, MD, Medical Editor, Random House, New York, 1989; Dorland's Illustrated Medical Dictionary , 28th Edition, W. B. Saunders Company, Philadelphia, 1994; The Random House Dictionary of the English Language , Unabridged Edition, 1966; Webster's Ninth New Collegiate Dictionary
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    38. Central Pontine Myelinolysis - General Practice Notebook
    central pontine myelinolysis (CPM) is a rare demyelinating condition of the ponsaffecting. long tract fibres; pontocerebellar fibres; pontine nuclei
    http://www.gpnotebook.co.uk/cache/-1583742920.htm
    central pontine myelinolysis Central pontine myelinolysis (CPM) is a rare demyelinating condition of the pons affecting:
    • long tract fibres pontocerebellar fibres pontine nuclei
    CPM is associated with:
    • chronic alcoholism over-rapid correction of hyponatraemia
    There is no treatment.
    Click here for more information...

    39. Central Pontine Myelinolysis
    Complete online version of The Encyclopaedia of Medical Imaging including textand images from The Encyclopaedia of Medical Imaging s eight book volumes
    http://www.amershamhealth.com/medcyclopaedia/medical/Volume VI 1/CENTRAL PONTINE

    financial services
    our commitment our company Search Medcyclopaedia for: Search marked text (mark text before you click) Browse entry words starting with: A B C D ... amershamhealth.com Central pontine myelinolysis, (also called osmotic demyelination), demyelinating disorder found in alcoholics or in association with many systemic disorders with electrolyte abnormalities. Because of the common association with rapidly corrected hyponatraemia, the term "osmotic demyelination syndrome" has been proposed. The symptoms of central pontine myelinolysis are quadriparesis, pseudobulbar palsy and changing levels of consciousness, including coma and death. Histologically, the area of myelin breakdown is sharply demarcated and displays extensive loss of oligodendrocytes, infiltration with foamy macrophages and reactive astrocytosis. At MR the lesion is characterized by T2 hyperintensity in a central pontine location ( Fig.1 ); gadolinium enhancement may sometimes be present. Extrapontine sites of myelinolysis in the basal ganglia and midbrain, and subcortical white matter may also occur. Many entities can be considered in the differential diagnosis, including ischaemia, multiple sclerosis, encephalitis, toxic exposures, radiation therapy effects and brain stem gliomas. When present, the key to the MRI diagnosis is the bilateral involvement of the deep and capsular white matter, often accompanied by abnormalities in the thalami and basal ganglia.

    40. Central Pontine Myelinolysis In A Previously Healthy 4-Year-Old Child With Acute
    central pontine myelinolysis (CPM) is rare, with fewer than 30 cases reported in CPM, central pontine myelinolysis. MRI, magnetic resonance imaging.
    http://pediatrics.aappublications.org/cgi/content/full/99/5/738
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    PEDIATRICS Vol. 99 No. 5 May 1997, pp. 738-742
    EXPERIENCE AND REASON:
    Central Pontine Myelinolysis in a Previously Healthy 4-Year-Old Child With Acute Rotavirus Gastroenteritis
    INTRODUCTION Top
    Introduction
    Case Report
    Discussion
    References Acute gastroenteritis is one of the most common childhood illnesses encountered today. Vomiting and diarrhea often cause dehydration. Although the disease is usually self-limiting, patients may require rehydration therapy. Central pontine myelinolysis (CPM) is rare, with fewer than 30 cases reported in children. First described in 1959, it is a demyelinating process that affects the central pons and may involve other white matter areas. CPM presents with an altered

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