Back to Search
Start Over
Wide Central Pontine, Bulbar and Thalamic Myelinolysis with Sequela
- Source :
- Eurasian Journal of Medicine, Vol 44, Iss 3, Pp 179-181 (2012)
- Publication Year :
- 2012
- Publisher :
- Atatürk University School of Medicine, 2012.
-
Abstract
- Although cases of hyponatremia during pregnancy have been described, it has rarely been possible to show demyelination lesions in central pons, bulbus as well as thalamus, by imaging techniques. We report a case that developed extensive myelinolysis due to the "rapid" correction of hyponatremia as a result of hyperemesis gravidarum. Magnetic resonance imaging showed bilaterally symmetric hyper-intense areas in the thalamus and cerebral crus and symmetric hyperintense area in the central pons, with sparing of the rim. In the second day of hospitalization, probably as a result of expansion of myelinolysis, she was intubated and received mechanical ventilator due to bradypnea and a GCS scale of E1M4V2. She was extubated in 11(th) day of hospitalization and physical therapy was started. She was discharged in 30(th) day of hospitalization with a GCS of 15. But she was tetraparetic (2/5). In the 3(rd) month of follow up, her quadriparesis improved to paraparesis in lower extremities (3/5). Her follow up examinations in the first year did not change although physical therapies go on. She delivered a normal child.
- Subjects :
- lcsh:R5-920
medicine.diagnostic_test
Hyperemesis gravidarum
business.industry
Thalamus
Magnetic resonance imaging
Sequela
Case Report
General Medicine
Bradypnea
medicine.disease
Pons
Extrapons
Anesthesia
Cerebral crus
medicine
Central pons
Myelinolisis
medicine.symptom
business
Hyponatremia
lcsh:Medicine (General)
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Eurasian Journal of Medicine, Vol 44, Iss 3, Pp 179-181 (2012)
- Accession number :
- edsair.doi.dedup.....fdddcde5bd59d0213c4dff19be2004b1