Central pontine myelinolysis presenting as isolated sixth nerve palsy in third trimester of pregnancy

Autor:	Tushar Divakar Gosavi, Siew Ju See
Jazyk:	angličtina
Rok vydání:	2015
Předmět:	Central pontine myelinolysis isolated sixth nerve palsy pregnancy third trimester Neurology. Diseases of the nervous system RC346-429
Zdroj:	Annals of Indian Academy of Neurology, Vol 18, Iss 1, Pp 84-86 (2015)
Druh dokumentu:	article
ISSN:	0972-2327 1998-3549
DOI:	10.4103/0972-2327.144291
Popis:	A 30-year-old primigravida presented with isolated left sixth nerve palsy at 38 weeks gestation. Her MRI showed a lesion consistent with central pontine myelinolysis (CPM). Extensive investigations did not reveal any secondary cause for the CPM. She recovered spontaneously in 2 weeks with complete resolution of her MRI changes. To our knowledge, this is the first report of CPM occurring in third trimester in the absence of identifiable secondary causes and of CPM presenting as an isolated sixth nerve palsy. We discuss the reported causes of CPM in pregnancy, possible pathophysiologic mechanisms involved and the anatomic basis of the unique clinical presentation of sixth nerve palsy in our case.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/1343bde0e571484e89daeea03d2b4bc5 Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF