ダウンロード数 : ?
ファイル
言語
英語
著者
岡田 和梧
小林 祥泰
河野 直人
山形 真吾
山口 修平
内容記述(抄録等)
We present a patient with nonketotic hyperosmolar coma who exhibited extra-pontine myelinolysis as demonstrated by the findings including magnetic resonance imaging (MRI). The lesions appeared as widespread symmetrical hyperintensities that involved the subcortical white matter of the frontal, temporal, and parietal lobes. Thinning of the cerebral cortices was observed. The center of the pons was only slightly affected. The patient ultimately died of pneumonia. The abrupt changes in serum sodium concentration and/or osmolarity, induced not only by treatment of hyponatremia, but by alteration to the hypernatremic state, may have contributed to the development of pontine and extra-pontine myelinolysis. To our knowledge, this is the first case in which the MRI results corresponded to previously reported autopsy findings of extra-pontine form by Okeda et al. in pontine and extra-pontine myelinolysis.
主題
Hyperglycemia
Hypernatremia
Central pontine myelinolysis
掲載誌名
Shimane journal of medical science
15
開始ページ
1
終了ページ
3
ISSN
03865959
ISSN(Online)
24332410
発行日
1997-09-01
NCID
AA00841586
出版者別表記
Shimane Medical University
資料タイプ
紀要論文
ファイル形式
PDF
著者版/出版社版
出版社版
部局
医学部
他の一覧
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