′Wine Glass′ sign in recurrent postpartum hypernatremic osmotic cerebral demyelination
| Autor: | Sanjeeva R Kunam, Rajendra V Mali, Aralikatte Onkarappa Saroja, Karkal Ravishankar Naik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Internal capsule
Hypernatremia medicine.diagnostic_test business.industry Encephalopathy Case Report Magnetic resonance imaging Corpus callosum medicine.disease ‘Wine-Glass’ sign Hyperintensity lcsh:RC346-429 White matter hyperintensity Anesthesia medicine magnetic resonance imaging osmotic demyelination Neurology (clinical) postpartum business ′Wine-Glass′ sign Rhabdomyolysis lcsh:Neurology. Diseases of the nervous system |
| Zdroj: | Annals of Indian Academy of Neurology, Vol 16, Iss 1, Pp 106-110 (2013) Annals of Indian Academy of Neurology |
| ISSN: | 1998-3549 0972-2327 |
| Popis: | Osmotic demyelination syndrome resulting from postpartum hypernatremia is a recently described entity wherein young women present with hypernatremic encephalopathy and white matter hyperintensities along with quadriparesis from rhabdomyolysis. It is an acute monophasic condition with acute hypernatremia occurring during puerperium with good recovery in majority of the patients with treatment. To the best of our knowledge, recurrent postpartum hypernatremia with encephalopathy, osmotic demyelination, and rhabdomyolysis has not been described. We present a young lady who had two episodes of reversible postpartum hypernatremic encephalopathy with rhabdomyolysis. Cerebral magnetic resonance imaging (MRI) before treatment revealed osmotic demyelination on both occasions. During first admission MRI revealed hyperintensities in internal capsule and corpus callosum, and at second admission revealed more extensive white matter hyperintensity, which simulated the ‘wine glass’ appearance. |
| Databáze: | OpenAIRE |
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