Artículo
Tonelli, J.; Cristina Zurru, M.; Castillo, J.; Casado, P.; Prizito, C.D.I.; Gutfraind, E. "Central pontlne myelinolysis induced by hyperemesis gravidarum " (1999) Medicina. 59(2):176-178
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Abstract:
An 18-vear-old woman in her first pregnancy with hyperemesis gravidarum, presented dehydration, without hyponatremia. She was confused with profound disorientation, apathy, and drowsiness. She presented upbeating nistagmus on upward gaze and gate ataxia recognised as Wernicke's encephalopathy. Laboratory tests demonstrated hypokalemia, hypernatremia and aminotransferase elevation. The serum osmolality was 319 mOsm/kg and the water deficiency 2.73 I. The patient developed weakness in the four limbs, with hypotonicity, absence of tendon reflexes and showed bilateral Babinski signs. A T2 weighted sagittal cranial-magnetic resonance imaging revealed a high signal within mid-pons suggesting central pontine myelinolysis. In this case we highlight the absence of hyponatremia. Furthermore, the central pontine myelinolysis was probably secondary to hypokalemia, hypernatremia and hyperosmolality.
Registro:
| Documento: | Artículo |
| Título: | Central pontlne myelinolysis induced by hyperemesis gravidarum |
| Autor: | Tonelli, J.; Cristina Zurru, M.; Castillo, J.; Casado, P.; Prizito, C.D.I.; Gutfraind, E. |
| Filiación: | Departamento de Clínica Médica Y de Neurologia, Hospital Santojanni, Argentina Institute de Neurocirugi'a Y Neurología, Sanatorio Mitre Dr. Pedro Rivera 2460, 1428 Buenos Aires, Argentina |
| Palabras clave: | Central pontine myelinolysis; Hyperemesis gravidarum; Hyponatremia; Wernicke's encephalopathy; adolescent; article; case report; central pontine myelinolysis; female; human; hyperemesis gravidarum; hypernatremia; male; pregnancy; Adolescent; Female; Humans; Hyperemesis Gravidarum; Hypernatremia; Male; Myelinolysis, Central Pontine; Pregnancy |
| Año: | 1999 |
| Volumen: | 59 |
| Número: | 2 |
| Página de inicio: | 176 |
| Página de fin: | 178 |
| Título revista: | Medicina |
| Título revista abreviado: | Medicina (Argentina) |
| ISSN: | 00257680 |
| CODEN: | MEDCA |
| Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00257680_v59_n2_p176_Tonelli |
Referencias:
- Me Kee, C., Winkelman, M.D., Banker, B., Central Pontine Myelinolysis in severely burned patients: Relationship to serum hyperosmolality (1988) Neurology, 38, pp. 1211-1217
- Lohr, J., Osmotic demyelination syndrome following correction of hyponatremia: Association with hypokalemia XlmJMecM, 994, pp. 408-413
- Tomlinson, B.E., Piérides, A.M., Bradley, W.G., Central Pontine Myelinolysis (1976) Two Cases with Associated Electrolite Disturbance. QJMed New Series XLV., 179, pp. 373-386
- Yuh, W., Simonson T, D'alessandro M, Smith K, Hunsicker L (1995) Am J Neuroradiol, 16, pp. 975-977
- Martin, P.J., Young, C.A., Central pontine myelinoiysis: Clinical and MRI correlates (1995) Postgrad Med, 71, pp. 430-442
- Launberger, J., Schneider, B., Ansorge, O., Götz, F., Häussinger Volk, B., Central Pontine Myelinolysis: Clinical presentation and radiologie findings (1996) Eur Radiol, 6, pp. 177-186
- Fraser, D., Central Pontine Myelinolysis as a result of treatment of hyperemesis gravidarum (1988) Case Report. Br J Obstet Gynaecol, 95, pp. 621-623
- Messing, R., Nutritional disorders of the nervous system (1996) In: Bennet J, Plum F, Gill G, Kokko J, Mandell G, Ockner R, Smith T. Cecil Textbook of Medicine. 20 th Ed. Philadelphia: Saunders, 2039
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Citas:
---------- APA ----------
Tonelli, J., Cristina Zurru, M., Castillo, J., Casado, P., Prizito, C.D.I. & Gutfraind, E. (1999) . Central pontlne myelinolysis induced by hyperemesis gravidarum . Medicina, 59(2), 176-178.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00257680_v59_n2_p176_Tonelli [ ]
---------- CHICAGO ----------
Tonelli, J., Cristina Zurru, M., Castillo, J., Casado, P., Prizito, C.D.I., Gutfraind, E. "Central pontlne myelinolysis induced by hyperemesis gravidarum " . Medicina 59, no. 2 (1999) : 176-178.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00257680_v59_n2_p176_Tonelli [ ]
---------- MLA ----------
Tonelli, J., Cristina Zurru, M., Castillo, J., Casado, P., Prizito, C.D.I., Gutfraind, E. "Central pontlne myelinolysis induced by hyperemesis gravidarum " . Medicina, vol. 59, no. 2, 1999, pp. 176-178.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00257680_v59_n2_p176_Tonelli [ ]
---------- VANCOUVER ----------
Tonelli, J., Cristina Zurru, M., Castillo, J., Casado, P., Prizito, C.D.I., Gutfraind, E. Central pontlne myelinolysis induced by hyperemesis gravidarum . Medicina (Argentina). 1999;59(2):176-178.Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00257680_v59_n2_p176_Tonelli [ ]
