Tison F X, Ferrer X, Julien J
Department of Neurology, Hôpital du Haut Lévêque, Pessac, France.
Mov Disord. 1991;6(2):171-3. doi: 10.1002/mds.870060215.
This report describes a case of central pontine myelinolysis occurring after a rapid correction of profound hyponatremia. Delayed-onset generalized dystonia and choreoathetosis then appeared. A small pontine myelinolysis was demonstrated by magnetic resonance images, but striatal myelinolysis could not be established. Aspects of movement disorders associated with the osmotic demyelination syndrome are briefly reviewed and discussed.
本报告描述了一例在严重低钠血症快速纠正后发生的中央桥脑髓鞘溶解症。随后出现迟发性全身性肌张力障碍和舞蹈指划样动作。磁共振成像显示有一小片桥脑髓鞘溶解,但纹状体髓鞘溶解无法确诊。本文简要回顾并讨论了与渗透性脱髓鞘综合征相关的运动障碍方面的问题。