RESUMO

Tha case of a 55 year old man who presented with severe global headache 8 hours after having been drinking heavily, and who over a two hour period developed deep coma and flaccid paralysis of all four extremities is reported. A CT scan of the brain was normal; however, on Magnetic Resonance Imaging (MRI) extensive hyperintense areas in the brain stem, mainly in the pons, were easily identified. Based upon the clinical and MRI findings a diagnosis of Central Pontine Myelinolysis was made. Following several months of supportive therapy the patient partially recovered and was able to leave the hospital.

Assuntos

Humanos , Masculino , Pessoa de Meia-Idade , Mielinólise Central da Ponte/cirurgia , Mielinólise Central da Ponte/classificação , Mielinólise Central da Ponte/complicações , Mielinólise Central da Ponte/diagnóstico , Mielinólise Central da Ponte/epidemiologia , Mielinólise Central da Ponte/etiologia , Mielinólise Central da Ponte/fisiopatologia , Mielinólise Central da Ponte/história , Mielinólise Central da Ponte/patologia , Mielinólise Central da Ponte/prevenção & controle , Mielinólise Central da Ponte/tratamento farmacológico , Mielinólise Central da Ponte , Mielinólise Central da Ponte/terapia