Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report
- Author:
Jaishree Sharmini
;
Kheng-Seang Lim
;
Norlisah Ramli
;
Chong-Tin Tan
- Publication Type:Case Reports
- From:Neurology Asia
2010;15(2):167-171
- CountryMalaysia
- Language:English
-
Abstract:
A 27 year-old Chinese man, involved in a motor vehicle accident, presented with rapidly progressive
pseudobulbar palsy and spastic tetraplegia. Magnetic resonance imaging (MRI) of the brain showed central
pontine T2 hyperintensity with an unaffected outer rim, consistent with central pontine myelinolysis.
There was no hyponatraemia before MRI and he was neither an alcoholic nor malnourished. Cerebral
angiogram confi rmed the diagnosis of right vertebral artery dissection. Vertebral artery dissection
should be considered in a case with imaging suggestive of central pontine myelinolysis.
- Full text:P020150902400698797865.pdf
