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中央桥脑髓鞘溶解症

Central pontine myelinolysis.

作者信息

Levitt R O, Shenker D M

出版信息

Alcohol Clin Exp Res. 1979 Jan;3(1):83-5. doi: 10.1111/j.1530-0277.1979.tb04774.x.

DOI:10.1111/j.1530-0277.1979.tb04774.x
PMID:371456
Abstract

A patient is reported whose ailment meets the criteria of CPM. The illness was complicated by pneumonitis, most likely of the aspiration type. Of particular interest was the reversibility of a clinical picture of marked deterioration when attention was paid to fluid and electrolyte balance and maintenance of respiration. This patient's illness appears to meet the criteria of CPM, namely impairment of the facial muscles and tongue with dysphagia and dysarthria, flaccid quadriparesis or quadriplegia, and frequently, lack of response to painful stimuli followed by respiratory paralysis. The presence of peripheral neuropathy has been previously noted in a patient with CPM, but it is not an integral part of the disease.

摘要

报告了一名患者,其病症符合渗透性脱髓鞘综合征(CPM)的标准。该疾病并发了肺炎,很可能是吸入性肺炎。特别值得关注的是,当重视液体和电解质平衡以及呼吸维持时,明显恶化的临床症状出现了可逆性。该患者的病症似乎符合CPM的标准,即面部肌肉和舌头受损伴吞咽困难和构音障碍、弛缓性四肢瘫或四肢麻痹,且常对疼痛刺激无反应,随后出现呼吸麻痹。此前曾有一名CPM患者被发现存在周围神经病变,但这并非该疾病的固有组成部分。

相似文献

1
Central pontine myelinolysis.中央桥脑髓鞘溶解症
Alcohol Clin Exp Res. 1979 Jan;3(1):83-5. doi: 10.1111/j.1530-0277.1979.tb04774.x.
2
Central pontine myelinolysis. A clinical reappraisal.
Arch Neurol. 1977 Apr;34(4):220-3. doi: 10.1001/archneur.1977.00500160034005.
3
[Central pontine myelinolysis and Schwartz-Bartter syndrome].[中央桥脑髓鞘溶解症与施瓦茨-巴特综合征]
Schweiz Med Wochenschr. 1982 May 22;112(21):765-9.
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Central pontine myelinolysis and medullary myelinolysis.中央桥脑髓鞘溶解症和延髓髓鞘溶解症。
Arch Pathol Lab Med. 1976 May;100(5):246-52.
5
Central pontine myelinolysis--a preventable condition. Two case reports and review of the literature.
J Tenn Med Assoc. 1986 Aug;79(8):469-72.
6
Hyponatremic encephalopathy: is central pontine myelinolysis a component?低钠血症性脑病:中枢性桥脑髓鞘溶解症是其一个组成部分吗?
Am J Med. 1992 May;92(5):513-22. doi: 10.1016/0002-9343(92)90748-z.
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Demyelination in the central nervous system in chronic alcoholism: central pontine myelinolysis and Marchiafava-Bignami's disease.
Ann N Y Acad Sci. 1973 Apr 30;215:373-81. doi: 10.1111/j.1749-6632.1973.tb28293.x.
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[Central pontine myelinolysis. Its nosographic setting among the neuropathologic lesions caused by alcoholism].
Rev Med Liege. 1987 Apr 1;42(7):285-90.
9
Clinical heterogeneity of central pontine myelinolysis.桥脑中央髓鞘溶解症的临床异质性
Lancet. 1988 Sep 17;2(8612):688. doi: 10.1016/s0140-6736(88)90504-1.
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Central pontine myelinolysis associated with low potassium levels in alcoholism.
J Neurol. 1990 Jul;237(4):275-6. doi: 10.1007/BF00314635.

引用本文的文献

1
[Central pontine myelosis. Morphology and forensic importance].[脑桥中央髓鞘溶解症。形态学及法医学重要性]
Z Rechtsmed. 1989;102(2-3):79-97. doi: 10.1007/BF00200502.