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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.

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 However, after the suspected causative drugs were withdrawn, the patient's condition did not improve.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/f934/8653859/7a52de34b8f3/cureus-0013-00000019318-i01.jpg

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