| Autor: |
S, Ruiz, M, Alzieu, L, Niquet, S, Vergne, D, Lathuile, J, Campistron |
| Jazyk: |
francouzština |
| Rok vydání: |
2008 |
| Předmět: |
|
| Zdroj: |
Annales francaises d'anesthesie et de reanimation. 28(1) |
| ISSN: |
1769-6623 |
| Popis: |
Central pontine myelinolysis covers very different clinical aspects, ranging from discrete tremor to quadriplegia. Rapid correction of hyponatraemia is a well-known risk factor, particularly in chronic alcohol abusers. We describe the case of a 46-year-old chronic alcoholic, suffering from denutrition. He developed a quadriplegia and a facial diplegia two weeks after a slow correction of a chronic hyponatraemia associated with hypokalaemia. Central pontine myelinolysis was formally diagnosed by MRI findings. In our case, the correction of hyponatraemia is not the only causal agent of this syndrome; hypokalaemia and denutrition seem to be predisposing factors too. For these reasons, glial cells are more vulnerable to osmotic variations. Despite of severe initial symptoms, the evolution was favourable with a quasi complete recovery. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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