41. Neurology -- Sign In Page Lateral pontine and extrapontine myelinolysis associated with Extrapontinemyelinolysis with involvement of the hippocampus in three children with http://www.neurology.org/cgi/content/full/64/3/574

HOME HELP FEEDBACK SUBSCRIPTIONS ... SEARCH QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This item requires a subscription to Neurology Online. Full Text Hypernatremia from a hunger strike as a cause of osmotic myelinolysis van der Helm-van Mil et al. Neurology. This Article Figures Only Full Text (PDF) Correspondence: ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by van der Helm-van Mil, A. H.M. Articles by Harinck, H. I.J. Related Collections All Imaging MRI Electrolyte To view this item, select one of the options below: Sign In User Name Sign in without cookies. Can't get past this page? Help with Cookies. Need to Activate? Password Forgot your user name or password? Purchase Short-Term Access Pay per Article - You may access this article (from the computer you are currently using) for 1 day for US$20.00

42. Neurosurgery - October 1998, Volume 43, Issue 4 extrapontine myelinolysis and Behavioral Change after Transsphenoidal PituitarySurgery Case Report. Masahiko Tosaka, MD; Hideaki Kohga, MD http://www.neurosurgery-online.com/pt/re/neurosurg/toc.00006123-199810000-00000.

43. Transplantation - Fulltext: Volume 61(4) February 27, 1996 P 658-661 CENTRAL PON 1B) posttransplant and had evidence of extrapontine myelinolysis (EPM) only on Pontine and extrapontine myelinolysis following liver transplantation http://www.transplantjournal.com/pt/re/transplantation/fulltext.00007890-1996022

LWWOnline LOGIN eALERTS REGISTER ... Archive CENTRAL PONTINE MYELINOLYSIS AND... ARTICLE LINKS: Abstract References (17) View full size inline images Transplantation Volume 61(4) 27 February 1996 pp 658-661 CENTRAL PONTINE MYELINOLYSIS AND CYCLOSPORINE NEUROTOXICITY FOLLOWING LIVER TRANSPLANTATION Fryer, Jonathan P. ; Fortier, Marielle V. ; Metrakos, Peter ; Verran, Deborah J. ; Asfar, Sami K. ; Pelz, David M. ; Wall, William J. ; Grant, David R. ; Ghent, Cameron N. Multiorgan Transplant Service and Department of Radiology, University Hospital, University of Western Ontario, London, Ontario, Canada Multiorgan Transplant Service. Department of Radiology. Address correspondence to Dr. Jonathan P. Fryer, Department of Surgery, Northwestern University, 303 East Superior, Suite 532, Chicago, IL 60611. Received 7 June 1995. Accepted 5 September 1995. Article Outline Abstract [Context Link] REFERENCES Citing Articles Figures/Tables Table 1 Figure 1 Figure 2 Abstract TOP In a recent series of 44 liver transplants we identified both extrapontine myelinolysis (EPM)-characteristic of cyclocosporine neurotoxicity-and central pontine myelinolysis (CPM) in 5 recipients posttransplant. An additional 2 recipients had EPM only posttransplant. MRIs performed in 4 asymptomatic recipients were normal. Large perioperative shifts in serum sodium, hypomagnesemia, and high cyclosporine levels may play a role in the development of these lesions, although the evidence from this study is inconclusive. In addition to supportive care, dilantin was started in patients who had seizures; aggressive magnesium replacement was initiated for hypomagnesemia, and cyclosporine levels were reduced in all patients. All patients demonstrated a slow steady recovery and all but 2 are home at the time of writing. CPM may be more prevalent than previously appreciated following liver transplantation, although its prognosis may not be as dismal.

44. Transplantation - Abstract: Volume 61(4) February 27, 1996 P 658-661 CENTRAL PON CENTRAL PONTINE MYELINOLYSIS AND CYCLOSPORINE NEUROTOXICITY FOLLOWING LIVER we identified both extrapontine myelinolysis (EPM)characteristic of http://www.transplantjournal.com/pt/re/transplantation/abstract.00007890-1996022

LWWOnline LOGIN eALERTS REGISTER ... Archive CENTRAL PONTINE MYELINOLYSIS AND... ARTICLE LINKS: Fulltext CENTRAL PONTINE MYELINOLYSIS AND CYCLOSPORINE NEUROTOXICITY FOLLOWING LIVER TRANSPLANTATION. Transplantation. 61(4):658-661, February 27, 1996. Fryer, Jonathan P. 1,2; Fortier, Marielle V. 3; Metrakos, Peter 1; Verran, Deborah J. 1; Asfar, Sami K. 1; Pelz, David M. 2; Wall, William J. 1; Grant, David R. 1; Ghent, Cameron N. 1 Abstract: In a recent series of 44 liver transplants we identified both extrapontine myelinolysis (EPM)-characteristic of cyclocosporine neurotoxicity-and central pontine myelinolysis (CPM) in 5 recipients posttransplant. An additional 2 recipients had EPM only posttransplant. MRIs performed in 4 asymptomatic recipients were normal. Large perioperative shifts in serum sodium, hypomagnesemia, and high cyclosporine levels may play a role in the development of these lesions, although the evidence from this study is inconclusive. In addition to supportive care, dilantin was started in patients who had seizures; aggressive magnesium replacement was initiated for hypomagnesemia, and cyclosporine levels were reduced in all patients. All patients demonstrated a slow steady recovery and all but 2 are home at the time of writing. CPM may be more prevalent than previously appreciated following liver transplantation, although its prognosis may not be as dismal. Subscribe to RSS feed utrdc-pt02 Release 4.0

45. Hyatrogenic Extrapontine Myelinolysis In Central Diabetes Insipidus: Are Cyclosp Hyatrogenic extrapontine myelinolysis in Central Diabetes Insipidus Are Cyclosporineand 1Desamino-8-D-Arginine Vasopressin Harmful in Association? http://jcem.endojournals.org/cgi/content/full/82/6/1749

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS This Article Full Text (PDF) Submit a related Letter to the Editor Alert me when this article is cited ... Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Maghnie, M. Special Articles Hyatrogenic Extrapontine Myelinolysis in Central Diabetes Insipidus: Are Cyclosporine and 1-Desamino-8- D -Arginine Vasopressin Harmful in Association? Mohamad Maghnie Eugenio Genovese Stefan Lundin Federico Bonetti and Departments of Pediatrics (M.M., F.B., M.A.), Radiology (E.G.), University of Pavia, IRCCS Policlinico S. Matteo, Pavia, Italy; Department of Clinical Pharmacology (S.L.), Lund University Hospital, Lund, Sweden Address all correspondence and requests for reprints to: Mohamad Maghnie, Department of Pediatrics, University of Pavia, IRCCS Policlinico S.Matteo, 27100 Pavia. Italy. E-mail Introduction Top Introduction DDAVP kinetics Differential diagnosis and...

46. Clinical Neuropharmacology - UserLogin CPM) or, rarely, other cerebral regions (extrapontine myelinolysis; EPM) (1) . Medlej R. Tamraz J. extrapontine myelinolysis treatment with TRH. http://www.clinicalneuropharm.com/pt/re/clnneupharm/fulltext.00002826-200003000-

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47. Current Opinion In Neurology - Abstract: Volume 13(6) December 2000 P 691-697 Os Osmotic demyelination disorders central pontine and extrapontine myelinolysis.Current Opinion in Neurology. 13(6)691697, December 2000. http://www.co-neurology.com/pt/re/coneuro/abstract.00019052-200012000-00014.htm

LWWOnline LOGIN eALERTS REGISTER ... Archive Osmotic demyelination disorders:... ARTICLE LINKS: Fulltext PDF (81 K) Permissions Osmotic demyelination disorders: central pontine and extrapontine myelinolysis. Current Opinion in Neurology. 13(6):691-697, December 2000. Brown, William D. Abstract: Subscribe to RSS feed utrdc-pt02 Release 4.0

48. Current Opinion In Neurology - UserLogin Abbreviations CT computed tomography EPM extrapontine myelinolysis CPM central Clinical features of central pontine and extrapontine myelinolysis TOP http://www.co-neurology.com/pt/re/coneuro/fulltext.00019052-200012000-00014.htm

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49. World J Gastroenterol None of the patients showed extrapontine myelinolysis. central pontine andextrapontine myelinolysis. Acta Neurobiol Exp 2001; 61 141144 http://www.wjgnet.com/1007-9327/10/2540.asp

50. Artículo 34: Movimientos Anormales En Un Caso De Mielinólisis Extrapontina. Re Translate this page Illowsky BP, Laureno R. Pontine and extrapontine myelinolysis a neurologic Wright DG, Laureno R, Victor M. Pontine and extrapontine myelinolysis. http://www.infodoctor.org/neuro/Art34.htm

Principal Mapa Presentación Artículos ... Novedades Movimientos anormales en un caso de Mielinólisis Extrapontina. Revisión de la literatura - Abnormal movements in a case of extrapontine myelinolysis. Review of the literature - D. Ezpeleta, C. de Andrés*, S. Giménez-Roldán*. Servicio de Neurología, Hospital General Universitario Gregorio Marañón, Madrid. Publicado en 1998 en Revista de Neurología MEDLINE Resumen. Summary Introduction and clinical case. We present a case of extra-pontine myelinolysis caused by acute hypernatraemia in which a complex picture of late onset extrapyramidal features, choreodystonia and parkinsonism developed. Repeated physical examinations, neurophysiological and neuroimaging studies using magnetic resonance all indicated an extra-pontine site of the lesions, which symmetrically affected the striate and to a lesser extent both thalami. We review the relevant literature available and analyze the cases described as having abnormal movements associated with a myelinolytic syndrome. Conclusions.

51. Current Opinion In Critical Care - UserLogin Osmotic demyelination central pontine myelinolysis and extrapontine myelinolysisTOP. Hyponatremia is a common complication of patients with liver disease http://www.co-criticalcare.com/pt/re/cocritcare/fulltext.00075198-199904000-0000

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52. Current Opinion In Critical Care - Abstract: Volume 5(2) April 1999 P 112 Neurol These complications include polyneuropathy, central and extrapontine myelinolysis,seizures, and central nervous system tumors. http://www.co-criticalcare.com/pt/re/cocritcare/abstract.00075198-199904000-0000

LWWOnline LOGIN eALERTS REGISTER ... Archive Neurologic complications of critical... ARTICLE LINKS: Fulltext Permissions Neurologic complications of critical illness and transplantation. Current Opinion in Critical Care. 5(2):112, April 1999. Chang, Cherylee W.J. MD Abstract: Subscribe to RSS feed utrdc-pt01 Release 4.0

53. Instituto Nacional De Salud Translate this page Extrapontine osmotic myelinolysis is a rare nervous system complication. Central pontine and extrapontine myelinolysis the osmotic demyelination http://www.ins.gov.co/biomedica/ver_articulo.php?id_articulo=41

54. UCSF - Neuroradiology Interesting Case: December, 2001 patchy and asymmetric lesions); extrapontine myelinolysis (requires anappropriate clinical context; often associated with central pontine myelinolysis) http://www.neurorad.ucsf.edu/previouscases/12012001.html

Excerpted from: Thieme Publishing's "Teaching Atlas of Brain Imaging" UCSF Attendings Nancy J. Fischbein MD William Dillon MD , and A. James Barkovich MD 167 cases, over 1000 figures at $139.00. Interesting Cases Clinical Presentation Six months prior to presentation, this 13 year old girl developed fatigue and weight loss. She then presented with a generalized seizure and lapsed into coma for three days. Upon awakening, she was disoriented and inappropriate. An MR scan was obtained. Fig A Fig B Fig C Fig D Pearls Reversibility of T2-prolonging lesions has been documented, suggesting that they represent areas of edema and possibly microinfarction. The so-called lupus anticoagulant (an antiphospholipid antibody) has a high association with cerebrovascular accidents and venous sinus thrombosis. Pitfalls No specific imaging finding is diagnostic of neuropsychiatric lupus. Imaging findings do not necessarily correlate with severity of clinical manifestations. Radiologic Findings An axial proton density-weighted image (Fig. A ) and a coronal FLAIR image (Fig.

55. [Dysphagia] CPM extrapontine myelinolysis symmetrically affects thalamocapsular regions, neostriatum,and other territories. Myelinolysis usually results from the rapid http://list.dysphagia.com/dysphagia/2002-July/msg00370.html

Date Prev Date Next [Chronological] [Thread] ... [Top] [Dysphagia] CPM Subject [Dysphagia] CPM From eripley@yahoo.com (Irene Campbell-Taylor) Date: Wed, 31 Jul 2002 09:30:51 -0700 (PDT) http://health.yahoo.com Prev by Date: [Dysphagia] A funny thing happened on the way to publication.... Next by Date: [Dysphagia] Pharyngeal dysphagia Index(es): Chronological Thread

56. Early Diagnosis Of Central Pontine Myelinolysis With Diffusion-Weighted Imaging There was no evidence for extrapontine myelinolysis. Wright DG, Laureno R,Victor M. Pontine and extrapontine myelinolysis. http://www.ajnr.org/cgi/content/full/25/2/210

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Abstract Figures Only Full Text (PDF) ... Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager PubMed PubMed Citation Articles by Ruzek, K. A. Articles by Miller, G. M. American Journal of Neuroradiology 25:210-213, February 2004 American Society of Neuroradiology Case Report BRAIN Early Diagnosis of Central Pontine Myelinolysis with Diffusion-Weighted Imaging Kimberly A. Ruzek a Norbert G. Campeau a and Gary M. Miller a a From the Mayo Clinic, Department of Radiology, Rochester, Minnesota Address correspondence to Norbert G. Campeau, MD, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905 Abstract TOP Abstract Introduction Case Report Discussion Conclusion References Summary: Central pontine myelinolysis (CPM) occurs in the setting of rapidly corrected hyponatremia, especially in chronically debilitated patients. Conventional CT and MR imaging findings

57. Resolving MR Features In Osmotic Myelinolysis (central Pontine And Extrapontine features in osmotic myelinolysis (central pontine and extrapontine myelinolysis) myelinolysis) and in other locations (extrapontine myelinolysis). http://www.ajnr.org/cgi/content/abstract/14/1/163

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager ... Cited by other online articles PubMed PubMed Citation Articles by Ho, V. B. Articles by Geyer, C. A. ARTICLES Resolving MR features in osmotic myelinolysis (central pontine and extrapontine myelinolysis) VB Ho, CR Fitz, CC Yoder and CA Geyer Department of Radiology, Walter Reed Army Medical Center, Washington, DC 20307-5001. Osmotic myelinolysis is a distinctive clinical syndrome with characteristic MR features in the central pons (central pontine myelinolysis) and in other locations (extrapontine myelinolysis). We describe the resolving MR features in an adolescent who has experienced complete neurologic recovery. Regions of involvement manifested increased T2 signal intensity. The extrapontine involvement was noted to resolve earlier with interim-increased T1-weighted signal. The mechanism for the variable

58. Accessing Article Menger H, Jorg J. Outcome of central pontine and extrapontine myelinolysis.J Neurol 1999; 246 700–705. Article PubMed ChemPort http://www.nature.com/bmt/journal/vaop/ncurrent/full/1705115a.html

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59. Log In Problems Central pontine and extrapontine myelinolysis associated with type 2 diabeticpatient with hypokalemia. Diabetes Res Clin Pract. 2005;687580. http://www.medscape.com/viewarticle/505496_print

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60. Log In Problems in the splenium were first described in Italian red wine drinkers but havebeen documented in cases of malnutrition and extrapontine myelinolysis. http://www.medscape.com/viewarticle/505496_3

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