Ataxic Form of Central Pontine Myelinolysis Developed during Alcohol Withdrawal in a Chronic Alcoholic
Soonchunhyang Medical Science
; : 218-221, 2016.
Article
en Ko
| WPRIM
| ID: wpr-94556
Biblioteca responsable:
WPRO
ABSTRACT
Central pontine myelinolysis (CPM) is well-recognized osmotic demyelination syndrome that is related to various conditions such as rapid correction of hyponatremia and chronic alcoholism. Acute ataxia as a sole clinical sign in CPM is rare. We report a case of a 59-year-old man with dysarthria, intention tremor, and a significant gait ataxia starting after alcohol withdrawal, with radiological evidence of CPM. CPM should be included in the differential diagnosis of alcoholic patients who develop a sudden ataxia. Chronic alcohol abuse is one of the most commonly encountered predisposing factors. Alcohol withdrawal represents an additional vulnerability factor, being responsible for electrolyte imbalances which are not always demonstrable but are certainly involved in the development of CPM.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Ataxia
/
Temblor
/
Causalidad
/
Enfermedades Desmielinizantes
/
Mielinólisis Pontino Central
/
Ataxia de la Marcha
/
Diagnóstico Diferencial
/
Alcoholismo
/
Disartria
/
Alcohólicos
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
Ko
Revista:
Soonchunhyang Medical Science
Año:
2016
Tipo del documento:
Article