Central Pontine Myelinolysis

Small, Juan E.; Noujaim, Daniel L.; Badeeb, Arwa

doi:10.1016/b978-0-323-44549-8.00006-7

Cited by 2 publications

(5 citation statements)

References 7 publications

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“…The CT scan findings and the clinical picture were suggestive of a diagnosis of central pontine myelinolysis. Central pontine myelinolysis is defined as the acute demyelinating disease, caused by fast serum osmolality fluctuation, resulting in symmetric demyelination of the central part of the basal pons 1 . Occasionally the disorder may affect the cerebral and cerebellar hemispheres.…”

Section: Final Diagnosis and Discussionmentioning

confidence: 99%

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A woman with focal neurological deficit following treatment for cholera

et al. 2023

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A 41-year old woman was treated for cholera at one of the health centers in Blantyre. Two days after discharge from the treatment unit, she developed weakness of all 4 limbs and difficulties with speech. She was referred to the Queen Elizabeth Central Hospital. A CT scan of the brain showed hypodense lesions in the pons. A diagnosis of central pontine myelinolysis was made. She recovered slowly and was discharged from hospital 17 days after admission.

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Section: Final Diagnosis and Discussionmentioning

confidence: 99%

“…In this case it is called extra-pontine myelinolysis. The disorder most frequently occurs after a rapid correction of hyponatremia 1 . During hyponatremia, the decrease in serum osmolality results in an osmotic gradient between the intracellular and extracellular spaces.…”

Section: Final Diagnosis and Discussionmentioning

confidence: 99%

A woman with focal neurological deficit following treatment for cholera

et al. 2023

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Section: Introduction and Literaturementioning

confidence: 99%

“…Heinrich Quincke initially defined Pseudotumor Cerebri (PTC) in 1983, as a defect in Cerebrospinal Fluid (CSF) dynamics that results in Raised Intracranial Pressure (RICP) [1] . Thus, the etiology of the disease has been mostly unknown, it was further entitled as Idiopathic Intracranial Hypertension (IIH) [1] . Visual Impairment caused by Papilledema is one of its known symptoms [1] , for which funduscopic exams have been widely used to diagnose and verify it [2] .…”

Section: Introduction and Literaturementioning

confidence: 99%

“…Thus, the etiology of the disease has been mostly unknown, it was further entitled as Idiopathic Intracranial Hypertension (IIH) [1] . Visual Impairment caused by Papilledema is one of its known symptoms [1] , for which funduscopic exams have been widely used to diagnose and verify it [2] . However, as long as the evaluation of increased ICP has recently experienced to be a more accurate approach via Optical Coherence Tomography (OCT), IIH diagnosis has eke become an interesting subject of study [3] .…”

Section: Introduction and Literaturementioning

confidence: 99%

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Case Report: An IIH Induced Endometriosis that Diagnosed by OCT, and Revealed Ten Years Dilemma of HPG Axis Dysfunction due to Pressure Effect of CSF on Pituitary Stalk

Shalbafan¹,

Naghibzadeh²,

Aminzadeh³

et al. 2023

MJN

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A 50 years old female patient stepped into Neurology practice, who had been suffering from intractable headaches and followed up for 10 years. At the meantime, she was secondarily assessed by Endometriosis stage-II. Meanwhile, the lab workup did not reflect much of an off the chart hormonal study, Anemia was a point of consideration. Although treatment for Anemia was successfully fulfilled, no progression was noted with mending Endometriosis symptoms and headaches. To that end, the patient was referred to Neurologist. She underwent a brain MRI study and was reported by empty Sella as an incidental finding. As a result, fundus photography was performed to check for papilledema, where no significant findings were reported. However, thus Empty Sella was in combination with severe headaches, Optical Coherence Tomography (OCT) was employed to have a closer look into her Optic Disc. OCT findings of the Retinal Nerve Fiber Layer (RNFL) over the Circumpapillary Tomogram and choroidal folds, concluded a micro-papilledema that finally provided an explanation for those chronic headaches. To that end, the patient went through a Lumber Puncture (LP), where an intracranial pressure (ICP) of 29 cmH2O was measured, CSF exam showed no cells and so normal Biochemical analysis. She was eke prescribed by Acetazolamide and constantly studied through the OCT, in order to

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Central Pontine Myelinolysis

Cited by 2 publications

References 7 publications

A woman with focal neurological deficit following treatment for cholera

A woman with focal neurological deficit following treatment for cholera

Case Report: An IIH Induced Endometriosis that Diagnosed by OCT, and Revealed Ten Years Dilemma of HPG Axis Dysfunction due to Pressure Effect of CSF on Pituitary Stalk

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