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Mielinosis extrapontina: reporte de un caso de síndrome de desmielinización osmótica.
- Source :
-
Revista Médica de Panamá . 2022, Vol. 42 Issue 3, p43-46. 4p. - Publication Year :
- 2022
-
Abstract
- Introduction: Osmotic demyelination syndrome is a clinical entity which poses a diagnostic challenge because of its often-silent course and its clinical picture which typically presents late. We describe two types of osmotic demyelination that can occur in isolation or simultaneously: central pontine myelinosis and extrapontine myelinosis. Case report: 21-year-old female with no personal history with tonic-clonic seizure episode for the first time in her life. On admission she was found to have a decreased serum sodium level, for which reason intravenous sodium correction was started. He presented with persistent headaches and vomiting 48 hours after sodium correction, and a brain MRI was performed, which showed evidence of extrapontine myelinosis. Conclusion: Rapid correction of sodium levels is associated with the possibility of developing pontine myelinosis. Caution in correcting hyponatremia is the cornerstone in preventing the development of this condition. [ABSTRACT FROM AUTHOR]
Details
- Language :
- Spanish
- ISSN :
- 03791629
- Volume :
- 42
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Revista Médica de Panamá
- Publication Type :
- Academic Journal
- Accession number :
- 162419024
- Full Text :
- https://doi.org/10.37980/im.journal.rmdp.20221858