Developed Extrapotine Myelinolysis after Hysteroscopic Myomectomy: A case report.
10.4097/kjae.2006.50.1.94
- Author:
Hyo Seok KANG
1
;
In Young OH
;
Young Ju KIM
;
Choon Kyu CHO
;
Su Keoung LEE
;
Sin Young YANG
;
Yong Im KWON
;
Hwan Yeong CHOI
;
Yun Seok YANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea. hskang0108@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
extrapontine myelinolysis;
hyponatremia;
irrigation fluid
- MeSH:
Absorption;
Brain Edema;
Endometrium;
Female;
Humans;
Hyponatremia;
Leiomyoma;
Male;
Menorrhagia;
Metrorrhagia;
Myelinolysis, Central Pontine;
Transurethral Resection of Prostate
- From:Korean Journal of Anesthesiology
2006;50(1):94-98
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transcervical resection of endometrium is under-utilized in the treatment of dysfunctional uterine bleeding, uterine myoma and menorrhagia. The procedure is similar to transurethral resection of prostate in men with a possibility of substantial absorption of irrigation fluid. Absorption of a large volume of fluid can cause excessive intravascular volume, hyponatremia, cerebral edema and death. Severe hyponatremia leading to extrapontine myelinolysis is an extremely rare complication of this procedure. So, We report a case of developed extrapontine myelinolysis after hysteroscopic myomectomy which, however, showed complete recovery.
