The pediatrician is able to give an essential contribution to. Sequential observation of movements disorders and brain images in the case of central pontine myelinolisis and extrapontine myelinolsis. Mielinolisis pontina central e hiponatremia perioperatoria. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Central pontine myelinolysis with clinical recovery. Clinical evolution of central pontine myelinolysis in a. 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 extrapontina secundaria a hiponatremia por. Myelinolysis, demyelination, hyponatremia, pregnancy. Please use one of the following formats to cite this article in your essay, paper or report. Pediatricians and surgeons should combine the knowledge of their own field for successful treatment. Labardini mendez, eduardo cervera ceballos, carmen corrales alfaro, micaela balbuena martinez, arlette araceli barbosa ibarra, jose ramiro espinoza zamora, omar genaro lopez navarro, cristal medina perez.
Avms and it is usually combine with the surgery or the radiosurgery. Hyponatremia after very heavy beer drinking researchgate. Central pontine myelinolysis radiology reference article. Mielinolisis extrapontina en paciente con hipernatremia. Pdf perioperative fluid therapy in the pediatric patient. Magnetic resonance mr features of a patient with profound hyponatremia and clinical findings of central pontine myelinolysis are presented. Chronic alcoholism associated cpm tends to be benign with a favorable prognosis compared to cpm secondary to rapid correction of hyponatremia. Mielinolisis central pontina en trasplante hepatico. Central pontine myelinolysis following rapid correction of hyponatremia. Coreman, i have done a scanner and it seems i have damaged neck bones from c1 to c6. There is a controversy wheter central pontine myelinolysis can complicate either hyponatremia or its rapid correction.
Mds is a clonal disorder characterized by ineffective hematopoiesis, which can lead to either fatal cytopenias or acute myelogenous leukemia aml. As such the condition is described in the osmotic demyelination syndrome article. Central pontine myelinolysis cpm is a neurological condition involving severe damage to the myelin sheath of nerve cells in the pons an area of the brainstem. This condition, however, has also been found in the malnourished, transplant recipients, or chronically debilitated patients,in particular, those in whom electrolyte. Resolution of the mr findings paralleled the clinical recovery. Hta, sin repercusiones, trata con hct y amlodipina. Surgery is usually required for treatment of cervical myelopathy to decompress the neural elements, restore lordosis, and stabilize the spine. Central pontine myelinolysis cpm is now more commonly referred to as osmotic demyelination syndrome, which recognizes that the same phenomenon is also seen in other areas of the brain previously known as extrapontine myelinolysis. Pdf mielinolisis central pontina en trasplante hepatico. The original patient population included only chronic alcoholics.
Download as ppt, pdf, txt or read online from scribd. Leucemia mieloide cronica e neoplasie mieloproliferative croniche ph negative i tumori ematologici. Diabetic ketoacidosis, alcoholic ketoacidosis, starvation ketosis and hypoglycaemic ketoacidosis. Central pontine myelinolysis cpm was first termed in 1959 by adams to describe a symmetric, demyelinating focus prominent in the central pons. Thanks to the ninjadoc, i have been made aware of another way that a person can develop hyponatremia, which increases their risk for cpm. Atlas of neuroanatomy and neurophysiologyselections from the netter collection of medical illustrations illustrations by frank h. Riskadapted treatment strategies were established because of the high median age 6075 years of. The damage is from two stenosis, four discal hernie and also mielomalatia. It is a condition most frequently related to rapid correction of hyponatremia. Mielopatia cervical western new york urology associates, llc.
1457 1415 1358 316 656 186 51 1475 332 1489 1477 585 1504 661 1406 482 101 1421 992 749 1243 244 1472 660 361 925 944 1019 914 41 326 1257 945 525 1319 141 1461 382 232