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颞叶脑磁共振成像从脑桥外髓鞘溶解症到脑桥中央髓鞘溶解症的变化：一例报告

Temporal Brain MRI Changes From Extrapontine Myelinolysis to Central Pontine Myelinolysis: A Case Report.

作者信息

Lee ChengYang, Ko ChingChung

机构信息

Medical Imaging, Chi Mei Medical Center, Tainan City, TWN.

出版信息

Cureus. 2021 Nov 6;13(11):e19318. doi: 10.7759/cureus.19318. eCollection 2021 Nov.

DOI:10.7759/cureus.19318
PMID:34909286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8653859/
Abstract

We present a case that was initially misdiagnosed as drug-related extrapyramidal side effect. However, after the suspected causative drugs were withdrawn, the patient's condition did not improve. Neuroimaging revealed osmotic demyelination syndrome with a temporal pattern of change from extrapontine myelinolysis to central pontine myelinolysis. Given the limited literature on this rare condition, further research to support clinical diagnosis and treatment is needed.

摘要

我们报告一例最初被误诊为药物相关性锥体外系副作用的病例。然而，在停用可疑致病药物后，患者病情并未改善。神经影像学检查显示为渗透性脱髓鞘综合征，其变化具有时间模式，从脑桥外髓鞘溶解发展为脑桥中央髓鞘溶解。鉴于关于这种罕见疾病的文献有限，需要进一步研究以支持临床诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f934/8653859/660b64ff1ca6/cureus-0013-00000019318-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f934/8653859/7a52de34b8f3/cureus-0013-00000019318-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f934/8653859/678eca66d366/cureus-0013-00000019318-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f934/8653859/660b64ff1ca6/cureus-0013-00000019318-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f934/8653859/7a52de34b8f3/cureus-0013-00000019318-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f934/8653859/678eca66d366/cureus-0013-00000019318-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f934/8653859/660b64ff1ca6/cureus-0013-00000019318-i03.jpg

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本文引用的文献

1
Midbrain, Pons, and Medulla: Anatomy and Syndromes.中脑、脑桥和延髓：解剖与综合征。
Radiographics. 2019 Jul-Aug;39(4):1110-1125. doi: 10.1148/rg.2019180126.
2
Osmotic Demyelination Syndrome - Evolution of Extrapontine Before Pontine Myelinolysis on Magnetic Resonance Imaging.渗透性脱髓鞘综合征——磁共振成像上脑桥外髓鞘溶解在脑桥髓鞘溶解之前的演变
J Neurosci Rural Pract. 2019 Jan-Mar;10(1):126-135. doi: 10.4103/jnrp.jnrp_240_18.
3
Prevention of the Osmotic Demyelination Syndrome After Liver Transplantation: A Multidisciplinary Perspective.
预防肝移植后渗透性脱髓鞘综合征：多学科视角。
Am J Transplant. 2017 Oct;17(10):2537-2545. doi: 10.1111/ajt.14317. Epub 2017 May 26.
4
Osmotic myelinolysis: Does extrapontine myelinolysis precede central pontine myelinolysis? Report of two cases and review of literature.渗透性脱髓鞘病变：脑桥外髓鞘溶解症是否先于脑桥中央髓鞘溶解症出现？两例报告及文献综述
Indian J Radiol Imaging. 2015 Apr-Jun;25(2):177-83. doi: 10.4103/0971-3026.155870.
5
Extrapontine myelinolysis presenting as acute parkinsonism.表现为急性帕金森综合征的脑桥外髓鞘溶解症。
BMC Neurol. 2006 Sep 10;6:33. doi: 10.1186/1471-2377-6-33.
6
Central pontine and extrapontine myelinolysis: the osmotic demyelination syndromes.中央桥脑及脑桥外髓鞘溶解症：渗透性脱髓鞘综合征
J Neurol Neurosurg Psychiatry. 2004 Sep;75 Suppl 3(Suppl 3):iii22-8. doi: 10.1136/jnnp.2004.045906.
7
Early diagnosis of central pontine myelinolysis with diffusion-weighted imaging.利用扩散加权成像对桥脑中央髓鞘溶解症进行早期诊断。
AJNR Am J Neuroradiol. 2004 Feb;25(2):210-3.
8
Central pontine myelinolysis: a hitherto undescribed disease occurring in alcoholic and malnourished patients.中央pontine髓鞘溶解症：一种迄今未被描述的疾病，发生于酗酒和营养不良的患者。
AMA Arch Neurol Psychiatry. 1959 Feb;81(2):154-72.
9
Evidence for a role for apoptosis in central pontine myelinolysis.细胞凋亡在中央桥脑髓鞘溶解症中作用的证据。
Acta Neuropathol. 2002 Jun;103(6):590-8. doi: 10.1007/s00401-001-0508-2. Epub 2002 Feb 15.