Central pontine myelinolysis syndrome as rare clinical manifestation of fatal refeeding syndrome: a case report
10.3760/cma.j.cn311282-20220510-00298
- VernacularTitle:一例脑桥中央髓鞘溶解症作为致死性再喂养综合征的罕见临床表现
- Author:
Xiaoyi YU
1
;
Hongna YANG
;
Wenyu LI
;
Yanxue WANG
;
Wei FANG
Author Information
1. 山东第一医科大学附属省立医院重症医学科，济南 250101
- Keywords:
Refeeding syndrome;
Central pontine myelinolysis;
Electrolyte metabolism disorder;
Hypophosphatemia;
Multiple organ dysfunction
- From:
Chinese Journal of Endocrinology and Metabolism
2023;39(10):890-893
- CountryChina
- Language:Chinese
-
Abstract:
The most common neurological clinical manifestations of refeeding syndrome(RFS)are seizures and altered consciousness. This article presents a case in which central pontine myelinolysis(CPM) is a complication of RFS and describes its diagnosis and treatment process. This case highlights the importance of early cranial MRI examination to exclude CPM in patients with persistent hypoghosphatemia and altered consciousness during the course of RFS treatment.
