Gupta Vishal Anand, Karnik Niteen, Itolikar Manish, Vekariya Ketan
Assistant Professor.
Professor.
J Assoc Physicians India. 2015 Oct;63(10):86-7.
Rapid correction of hyponatremia is known to cause central pontine myelinolysis (CPM). It may concurrently involve other areas of brain as well, referred as extra-pontine myelinolysis (EPM). Isolated EPM however is a very rare occurrence. We present a case of EPM where the hyponatremia was secondary to hypothyroidism due to empty sella syndrome. Chronic hyponatremia should always be corrected slowly to avoid such osmotic myelinolysis syndromes (OMS).
已知快速纠正低钠血症会导致中枢性桥脑髓鞘溶解症（CPM）。它也可能同时累及脑的其他区域，称为脑桥外髓鞘溶解症（EPM）。然而，孤立性EPM非常罕见。我们报告一例EPM病例，该病例中低钠血症继发于空蝶鞍综合征所致的甲状腺功能减退。慢性低钠血症应始终缓慢纠正，以避免此类渗透性髓鞘溶解综合征（OMS）。
