A Case of Asymptomatic Central Pontine Myelinolysis after Severe Hypoglycemia in a Patient with Diabetic Nephropathy.
- Author:
Song Wook CHUN
1
;
Uk Hyun KIL
;
Eun Jung HONG
;
Geun Jong JO
;
Jeong Wook PARK
;
Young Joo KIM
;
Young Soo KIM
;
Sun Ae YOON
;
Young Ok KIM
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Central pontine myelinolysis;
Magnetic resonance imaging;
Hypoglycemia;
Diabetic nephropathy
- MeSH:
Consciousness;
Demyelinating Diseases;
Diabetic Nephropathies*;
Diagnosis;
Humans;
Hypoglycemia*;
Hyponatremia;
Magnetic Resonance Imaging;
Mutism;
Myelinolysis, Central Pontine*;
Pons;
Prognosis;
Quadriplegia
- From:Korean Journal of Nephrology
2005;24(2):300-304
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Central pontine myelinolysis (CPM)is a demyelinating disorder that affects pons and is characterized by disturbance of consciousness, quadriparesis, and mutism and has been considered to have poor prognosis. It commonly occurs in patients with rapidly corrected hyponatremia. However, hypoglycemia induced CPM has been rarely reported. Diagnosis is confirmed by MR imaging. Here we report a case of CPM after severe hypoglycemia without any electrolyte disturbance in a patients with diabetic nephropathy.
