scholarly journals Rare Case of Central Pontine Myelinolysis: Etiological Dilemma

Cureus ◽  
2021 ◽  
Author(s):  
Mohan V. Sumedha Maturu ◽  
Aravind Varma Datla ◽  
Vinayagamani Selvadasan ◽  
Sibasankar Dalai
2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Kalyana C. Janga ◽  
Tazleem Khan ◽  
Ciril Khorolsky ◽  
Sheldon Greenberg ◽  
Priscilla Persaud

A 42-year-old high risk pregnant female presented with hyponatremia from multiple causes and was treated with total parenteral nutrition. She developed acute hypernatremia due to the stage of pregnancy and other comorbidities. All the mechanisms of hyponatremia and hypernatremia were summarized here in our case report. This case has picture (graph) representation of parameters that led to changes in serum sodium and radiological findings of central pontine myelinolysis on MRI. In conclusion we present a complicated case serum sodium changes during pregnancy and pathophysiological effects on serum sodium changes during pregnancy.


Author(s):  
Anoop AS ◽  
Lakshmiprasad L. Jadhav ◽  
Sruthy Nair ◽  
Rohan Mohandas

A 56 year old male patient was admitted to S.D.M Ayurveda Hospital, Hassan, Karnataka with the confirmed diagnosis of Central Pontine Myelinolysis (CPM) on 11/12/17. The chief complaints were weakness of both hands and legs, stiffness in both hands and legs, pain in both shoulder joints, slurred speech, difficulty in walking with gait changes. H/O chronic alcoholism. MRI brain showed pontine and basal ganglia diffusion restriction - Acute Pontine Myelinolysis. The serum electrolyte showed serum sodium level as 128 mmol/litre. This disease can be understood as Samana Avruta Vyana in hyponatremic encephalopathy stage and the stage of myelinolysis can be understood as Sarvanga Vata with Kapha Avruta Udana and Vyana. After clinical evaluation, Avarana Chikitsa was started followed by Kevala Vatika Chikitsa and significant improvement was seen. Significant result was observed in subjective and objective parameters after the treatment. The patient was discharged with oral medications for 1 month.


2006 ◽  
Vol 28 (3) ◽  
pp. 360-366 ◽  
Author(s):  
Suresh Kumar ◽  
Marjorie Fowler ◽  
Eduardo Gonzalez-Toledo ◽  
S. L. Jaffe

2008 ◽  
Vol 21 (4) ◽  
pp. 390-391 ◽  
Author(s):  
Fuat H. Saner ◽  
Susanne Koeppen ◽  
Marco Meyer ◽  
Matthias Kohnle ◽  
Stefan Herget-Rosenthal ◽  
...  

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