- Author:
Jongmin SONG
1
;
Young Nam KWON
;
Boo Suk NA
;
Soo Jin SONG
;
Yu Yong SHIN
;
Jae Hong YI
;
Dokyung LEE
;
Tae Beom AHN
Author Information
- Publication Type:Case Report
- Keywords: Extrapontine myelinolysis; Freezing of gait
- MeSH: Aged; Cognition Disorders; Dystonia; Female; Follow-Up Studies; Freezing*; Gait*; Humans; Hypokinesia; Hyponatremia; Magnetic Resonance Imaging; Myelinolysis, Central Pontine*; Myoclonus; Neurologic Examination; Pons; Weather
- From:Journal of the Korean Neurological Association 2016;34(5):353-356
- CountryRepublic of Korea
- Language:Korean
- Abstract: A 65-year-old female visited us due to gait disturbance. A neurological examination showed cognitive impairment, dystonia, myoclonus, bradykinesia, postural instability, and freezing of gait (FOG). She was diagnosed with extrapontine myelinolysis based on her history of hyponatremia and high signal intensities (HSIs) in both striata on T2-weighted images. Her neurological problems including FOG improved over 25 days. In a follow-up MRI 50 days after the onset, HSIs disappeared in the striata but new ones appeared in the pons. FOG may have been related to striatal dysfunction in this patient.