中央桥脑髓鞘溶解症：一例报告
Central Pontine Myelinolysis: A Case Report.
作者信息
Tiwari Richa, Kumari Anju
机构信息
Department of Anaesthesia and Intensive Care, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
出版信息
Indian J Crit Care Med. 2022 Sep;26(9):1049-1051. doi: 10.5005/jp-journals-10071-24311.
UNLABELLED
Central pontine myelinolysis (CPM) classically occurs due to rapid rise in serum osmolarity. Most cases have been associated with a history of chronic alcohol abuse, malnutrition, diuretic abuse, and hyponatremia. The pathological process of CPM starts in the central pons near median raphe and spreads out "like a brush Fire" into the surrounding basis pontis. Extrapontine sites such as internal capsule, basal ganglia, cerebellum, and cerebrum can also be affected. We report a case of 60-year-old male with history of chronic alcoholism who presented to us with severe neurological deficits 10 days after his episode of severe hyponatremia.
HOW TO CITE THIS ARTICLE
Tiwari R, Kumari A. Central Pontine Myelinolysis: A Case Report. Indian J Crit Care Med 2022;26(9):1049-1051.
未标注
经典的中央桥脑髓鞘溶解症（CPM）是由于血清渗透压迅速升高所致。大多数病例与慢性酒精滥用、营养不良、利尿剂滥用及低钠血症病史有关。CPM的病理过程始于中缝附近的脑桥中部，并“如燎原之火”般蔓延至周围的脑桥基底部。脑桥外部位如内囊、基底节、小脑和大脑也可受累。我们报告一例60岁有慢性酒精中毒病史的男性，在严重低钠血症发作10天后出现严重神经功能缺损。
如何引用本文
蒂瓦里R，库马里A。中央桥脑髓鞘溶解症：一例报告。《印度重症监护医学杂志》2022；26（9）：1049 - 1051。
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