Pontine Neoplasm or Myelinolysis Despite Normal Sodium Levels.
Central pontine myelinolysis
Diffuse intrinsic pontine glioma
Normonatremia
Osmotic demyelination syndrome
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
09
04
2020
revised:
05
05
2020
accepted:
06
05
2020
pubmed:
18
5
2020
medline:
6
11
2020
entrez:
17
5
2020
Statut:
ppublish
Résumé
An elderly woman was transferred for biopsy of a pontine lesion. Her condition, including gait disturbances, truncal ataxia, and dysarthria-presumed to be due to severe alcohol abuse-had deteriorated during treatment of ambulatory-acquired pneumonia. No electrolyte abnormalities were noted during hospitalization. However, the neuroimaging findings were in line with central pontine myelinolysis, typically sparing the peripheral pontine fibers. Although extremely rare, pontine myelinolysis can occur in the presence of normal electrolyte levels. Thus, imaging findings should not be misinterpreted as pontine neoplasms, and patients should not undergo stereotactic biopsy-a procedure that could result in disastrous morbidity.
Identifiants
pubmed: 32416240
pii: S1878-8750(20)31032-9
doi: 10.1016/j.wneu.2020.05.061
pii:
doi:
Substances chimiques
Sodium
9NEZ333N27
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
63-64Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.