Levitt R O, Shenker D M
Alcohol Clin Exp Res. 1979 Jan;3(1):83-5. doi: 10.1111/j.1530-0277.1979.tb04774.x.
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.
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。