Central Pontine and Extrapontine Myelinolysis in a Patient with Traumatic Brain Injury Following Not Rapid Correction of Hyponatremia: A Case Report.
10.13004/kjnt.2014.10.1.31
- Author:
Tae Hyun BAEK
1
;
Seung Ho YANG
;
Jae Hoon SUNG
;
Sang Won LEE
Author Information
1. Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea. 72ysh@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Central pontine myelinolysis;
Hyponatremia;
Head injury;
Hypokalemia
- MeSH:
Alcoholism;
Brain Injuries*;
Craniocerebral Trauma;
Demyelinating Diseases;
Humans;
Hypokalemia;
Hyponatremia*;
Myelinolysis, Central Pontine*
- From:Korean Journal of Neurotrauma
2014;10(1):31-34
- CountryRepublic of Korea
- Language:English
-
Abstract:
Central pontine myelinolysis occurs inconsistently as a complication of severe and prolonged hyponatremia, particularly when corrected too rapidly. This condition is a concentrated, frequently symmetric, noninflammatory demyelination within the central basis pontis. We describe a head injury patient who developed central pontine and extrapontine myelinolysis following a gradual correction of hyponatremia. More attention should be paid to correcting hyponatremia combined with hypokalemia in patients who have a history of alcoholism.
