Lee ChengYang, Ko ChingChung
Medical Imaging, Chi Mei Medical Center, Tainan City, TWN.
Cureus. 2021 Nov 6;13(11):e19318. doi: 10.7759/cureus.19318. eCollection 2021 Nov.
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 However, after the suspected causative drugs were withdrawn, the patient's condition did not improve.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.
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。