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隐匿性脑桥脱髓鞘病变的困境:文献综述

The Dilemma of Inadvertent Pontine Demyelinosis: A Review of Literature.

作者信息

Sheikh Abu Baker, Afzal Rao M, Sagheer Shazib, Bukhari Marvi M, Javed Anam, Nasrullah Adeel, Tariq Usman, Athar Fahad, Saleem Muhammad Sabih

机构信息

Internal Medicine, University of New Mexico, Albuquerque, USA.

Internal Medicine, Shifa College of Medicine, Islamabad, PAK.

出版信息

Cureus. 2018 Aug 21;10(8):e3174. doi: 10.7759/cureus.3174.

DOI:10.7759/cureus.3174
PMID:30357070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6197531/
Abstract

Osmotic demyelination syndrome is classically associated with a swift adjustment of previously low serum sodium levels which lead to cellular dehydration and subsequent neurological insult. We also review the epidemiology, different postulations to explain the underlying pathophysiology, current diagnostic modalities, subsequent therapeutic interventions used to manage this phenomenon, and the resultant prognosis of this ailment.

摘要

渗透性脱髓鞘综合征通常与先前低血清钠水平的快速调整有关,这会导致细胞脱水及随后的神经损伤。我们还回顾了其流行病学、用于解释潜在病理生理学的不同假说、当前的诊断方法、用于处理这一现象的后续治疗干预措施以及这种疾病的最终预后。

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引用本文的文献

1
Normal Correction of Sodium Leading to Central Pontine Demyelinosis: A Rare Occurrence.正常的钠纠正导致中枢性桥脑脱髓鞘病变:一种罕见情况。
Cureus. 2018 Sep 4;10(9):e3252. doi: 10.7759/cureus.3252.

本文引用的文献

1
Osmotic demyelination syndrome following slow correction of hyponatremia: Possible role of hypokalemia.低钠血症缓慢纠正后出现的渗透性脱髓鞘综合征:低钾血症的可能作用。
Indian J Crit Care Med. 2013 Jul;17(4):231-3. doi: 10.4103/0972-5229.118433.
2
Extrapontine myelinolysis in a case of portal cavernous transformation following slow correction of chronic hyponatremia.慢性低钠血症缓慢纠正后门静脉海绵样变性患者发生脑桥外髓鞘溶解症
Neurol Sci. 2013 Oct;34(10):1831-3. doi: 10.1007/s10072-013-1311-2. Epub 2013 Feb 1.
3
More often striatal myelinolysis than pontine? A consecutive series of patients with osmotic demyelination syndrome.纹状体髓鞘溶解症是否比脑桥髓鞘溶解症更常见?一组渗透性脱髓鞘综合征患者的连续病例研究。
Neurol Res. 2012 Apr;34(3):262-71. doi: 10.1179/1743132812Y.0000000009. Epub 2012 Mar 5.
4
Central pontine myelinolysis: a metabolic disorder of myelin.中央桥脑髓鞘溶解症:一种髓鞘的代谢紊乱疾病。
J Neuropsychiatry Clin Neurosci. 2011 Fall;23(4):369-74. doi: 10.1176/jnp.23.4.jnp369.
5
Clinical and radiologic correlations of central pontine myelinolysis syndrome.脑桥中央髓鞘溶解症的临床与影像学相关性。
Mayo Clin Proc. 2011 Nov;86(11):1063-7. doi: 10.4065/mcp.2011.0239. Epub 2011 Oct 13.
6
Astrocytes are an early target in osmotic demyelination syndrome.星形胶质细胞是渗透性脱髓鞘综合征的早期靶标。
J Am Soc Nephrol. 2011 Oct;22(10):1834-45. doi: 10.1681/ASN.2010111127. Epub 2011 Sep 1.
7
Clinical and functional outcome and factors predicting prognosis in osmotic demyelination syndrome (central pontine and/or extrapontine myelinolysis) in 25 patients.25 例渗透性脱髓鞘综合征(脑桥中央和/或脑桥外髓鞘溶解症)的临床和功能预后及预后预测因素。
J Neurol Neurosurg Psychiatry. 2011 Mar;82(3):326-31. doi: 10.1136/jnnp.2009.201764. Epub 2010 Sep 8.
8
Treatment of hyponatremia.低钠血症的治疗。
Curr Opin Nephrol Hypertens. 2010 Sep;19(5):493-8. doi: 10.1097/MNH.0b013e32833bfa64.
9
Central pontine myelinolysis: historical and mechanistic considerations.脑桥中央髓鞘溶解症:历史和机制的考虑。
Metab Brain Dis. 2010 Mar;25(1):97-106. doi: 10.1007/s11011-010-9175-0. Epub 2010 Feb 25.
10
Central pontine and extrapontine myelinolysis despite careful correction of hyponatremia: clinical and neuropathological findings of a case.尽管小心纠正了低钠血症,仍出现脑桥中央和脑桥外髓鞘溶解症:一例的临床和神经病理学发现。
Neurol Sci. 2010 Apr;31(2):227-30. doi: 10.1007/s10072-009-0173-0. Epub 2009 Oct 30.