Ae extrapontine myelinolysis. Findings Axial CT images with and without contrast central pontine/extrapontine myelinolysis, ADEM, MS less likely http://www.med.uc.edu/neurorad/webpage/ffa.html
Extractions: Central pontine myelinolysis occurs infrequently when electrolyte disorders are corrected too quickly, and manifests clinically as spastic paraparesis, pseudobulbar palsy, or "locked in" syndrome. While the majority of cases are caused by rapid correction of hyponatremia or associated with alcoholism, a variety of electrolyte and metabolic disorders may have a role in CPM. Characteristic imaging features include symmetric hypodensity or signal abnormality in the pontine transverse fibers. These attenuation abnormalities can extend into the deep gray structures in up to 50%. BACK TO UNKNOWNS BACK TO CATEGORIES HOME
Extractions: Vol Page [Advanced] This Article Full Text Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Email this link 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 Martin, R J Related Collections Neurology in Practice Department of Neurology, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK; roswell.martin@gloucr-tr.swest.nhs.uk Keywords: central pontine myelinolysis; extra-pontine myelinolysis; osmotic demyelination syndromes The first 150 words of the full text of this article appear below.
Extractions: Vol Page [Advanced] This Article Extract Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Email this link 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 Martin, R J Related Collections Neurology in Practice Department of Neurology, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK; Keywords: central pontine myelinolysis; extra-pontine myelinolysis; osmotic demyelination syndromes Central pontine myelinolysis (CPM) was described by Adams and colleagues in 1959 as a disease affecting alcoholics and the malnourished.
Hyatrogenic Extrapontine Myelinolysis In Central Diabetes Hyatrogenic extrapontine myelinolysis in Central Diabetes Insipidus Are Cyclosporine and 1Desamino-8-D-Arginine Vasopressin Harmful in Association? http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126
Webkatalog 1. Drkoop Medical Encyclopedia Central Pontine Myelinolysis A definition of central pontine myelinolysis, including the causes, risks http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126
Extractions: Vol Page [Advanced] This Article Abstract Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Email this link 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 Seiser, A Articles by Brainin, M J Neurol Neurosurg Psychiatry 119-121 ( July ) A Seiser, a S Schwarz, a M M Aichinger-Steiner, a G Funk, a P Schnider, b M Brainin a a Center for Postgraduate Studies in Neuroscience, Danube University, Krems, Austria, and Department of Neurology, Landesnervenklinik Klosterneuburg- Gugging, Austria, b Department of Neurology, University of Vienna, Austria
Blackwell Synergy - Cookie Absent Unusual occurrence of extrapontine myelinolysis associated with acute severe Second, the patient s extrapontine myelinolysis was probably secondary to http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2265.2005.02319.x
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Blackwell Synergy - Cookie Absent There was no histological evidence suggestive of bacterial or viral infection orcentral pontine and extrapontine myelinolysis. Alzheimer type II glia and http://www.blackwell-synergy.com/doi/abs/10.1111/j.1440-1789.2004.00583.x
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Medicine Pontine And Extrapontine Myelinolysis A Neurologic Access the article, 'Pontine and extrapontine myelinolysis a neurologic disorder following rapid correction of hyponatremia.' from Medicine, a http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126
Extractions: (advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Neurology Neurotoxicology Last Updated: March 3, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: osmotic myelinolysis, CPM, hyponatremia, noninflammatory demyelination, stripping of the myelin sheath, alcoholism, liver disease, malnutrition AUTHOR INFORMATION Section 1 of 9 Author Information Introduction Clinical Differentials ... Bibliography Author: Christopher C Luzzio, MD , Clinical Assistant Professor, Department of Neurology, University of Wisconsin at Madison Christopher C Luzzio, MD, is a member of the following medical societies: American Academy of Neurology Editor(s): Howard A Crystal, MD , Professor, Departments of Neurology and Pathology, State University of New York Downstate; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, eMedicine;
Extractions: (advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Neurology Movement And Neurodegenerative Diseases Last Updated: June 15, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: unresponsiveness, deficits in fetal cortical development, dopaminergic blockade, glutamatergic dysfunction, dysfunction in neurotransmission of noradrenaline, dysfunction in neurotransmission of serotonin, frontal anomalies, motoric immobility, excessive motor activity, extreme negativism, mutism, peculiarities of voluntary movement, echolalia, echopraxia, stupor, oppositionism, posturing, catalepsy, automatic obedience, echophenomena, rigidity, verbigeration, withdrawal, akinesia, stupor AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography
Baylor Neurology Case Of The Month extrapontine myelinolysis following rapid correction of iatrogenic In a seriesof 34 patients with central and/or extrapontine myelinolysis, http://www.bcm.edu/neurology/challeng/pat75/summary.html
Extractions: For these reasons, patients at risk of developing significant hyponatremia should be closely monitored. Treatment of symptomatic acute hyponatremia must balance the risk of development of osmotic demyelination with the risk of complications from the hyponatremia itself. Recent recommendations suggest that hyponatremia be corrected at a rate of not more than 8 mmol/L/day, although initial rates of correction may be as much as 1-2 mmol/L/hour until life-threatening symptoms resolve (Adrogue and Madias, 2000). Monitoring of sodium levels every 2-3 hours may be necessary in order that adjustments in treatment can be made to avoid overly rapid changes or reduce the impact of overcorrection. Chronic hyponatremia without life-threatening symptoms should be corrected very slowly. It is difficult at times, however, to distinguish chronic from acute alterations in the emergency setting. Diagnosis: clinical signs and imaging findings Diagnosis of osmotic demyelination syndromes begins with recognition of predisposing risk factors for hyponatremia, and a clinical course suggesting development of symptoms after a documented or suspected osmotic stress. Other disorders that could produce cortical, basal ganglia, or white matter injury, such as status epilepticus, hypoxic-ischemic events, hypertensive emergencies, and Wernicke encephalopathy, should be considered in the differential diagnosis.
