Osmotic demyelination syndrome radiology reference article. Pdf central pontine myelinolysis is a demyelinating lesion in the basis pontis which in most cases is caused by a rapid correction of hyponatremia. Several cases of hyperglycaemia and ketoacidosis associated with alterations in sodium levels 1,4 have been reported in recent years, suggesting that hyperglycaemia associated with hyponatraemia should be added to the list of risk factors alcoholism, malnutrition, etc. Mielinolisis central pontina tras sindrome neuroleptico maligno. Mielinolisis extrapontina secundaria a hiponatremia por. Scribd is the worlds largest social reading and publishing site. Lampl y yazdi en una revision hecha en 2002, reporta.
Hta, sin repercusiones, trata con hct y amlodipina. Sequential observation of movements disorders and brain images in the case of central pontine myelinolisis and extrapontine myelinolsis. Osmotic demyelination syndrome refers to acute demyelination seen in the setting of osmotic changes, typically with the rapid correction of hyponatremia. Central pontine myelinolysis is a demyelinating lesion in the basis pontis which in most cases is caused by a rapid correction of. It is the more recent term replacing central pontine myelinolysis, recognizing that extrapontine structures can also be affected, previously known as extrapontine myelinolysis. Pontine and extrapontine myelinolysis are usually due to a rapid correction of hyponatraemia. Hospital general regional 110 imss university of arizona. 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. Pdf mielinolisis pontina central e hiponatremia perioperatoria. Parkinsonismo secundario a mielinolisis extrapontina. Summary central pontine myelinolysis is a rare neurological alteration, of unknown etiology, which is ob served mainly in alcoholic chronic patients or with chronic diseases accompanied of malnutrition or hydroelectrolytic imbalances. 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. Pontine and extrapontine myelinolysis secondary to.
Mielinolisis central pontina en trasplante hepatico. Mielinolisis pontina central e hiponatremia perioperatoria. Enfermedades desmielinizantes en animales domesticos y. Central pontine myelinolysis radiology reference article. Results concerning the response rates of different drugs, respectively, in daily clinical practice and data with regard to the parameters associated with successful cardioversion are not very prevalent. Neurociencias en colombia volumen 23 n umero 2 junio 2016 23 1 issn 0123 4048 indexada en mx y latinindex volumen 23 numero 2 junio 2016.
L i q u i d o e x t r a c e l u l a r 3040% del peso corporal total. As such the condition is described in the osmotic demyelination syndrome article. The most frequent cause is the treatment of a hiponatremia, when the levels of sodium rise too fast. Objective pharmacologic cardioversion of atrial fibrillation af is a reasonable mode of treatment if the arrhythmia is of recent onset. Pontine and extrapontine myelinolysis secondary to glycemic fluctuation. This jury also picks the best posters of the year to receive. Efectos coma y convulsiones hemorragia intracerebral mielinolisis pontina ventajas desplaza h2o cerebral al vascular. There is a controversy wheter central pontine myelinolysis can complicate either hyponatremia or its rapid correction. Cetoacidosis alcoholica y complicaciones neurologicas. Osmotic demyelination syndrome radiology reference. 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. Pontine and extrapontine myelinolysis secondary to glycemic. Epos, the electronic presentation online system, is the european society of radiologys online database for electronic scientific exhibits. Enfermedades desmielinizantes del sistema nervioso central.
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