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一位女性在霍乱治疗后出现局灶性神经功能缺损。

A woman with focal neurological deficit following treatment for cholera.

机构信息

Kamuzu University of Health Sciences; School of Medicine and Oral Health, Malawi.

Queen Elizabeth Central Hospital, Malawi.

出版信息

Malawi Med J. 2023 Mar;35(1):67-69. doi: 10.4314/mmj.v35i1.10.

DOI:10.4314/mmj.v35i1.10
PMID:38124692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10645902/
Abstract

A 41-year old woman was treated for cholera at one of the health centers in Blantyre. Two days after discharge from the treatment unit, she developed weakness of all 4 limbs and difficulties with speech. She was referred to the Queen Elizabeth Central Hospital. A CT scan of the brain showed hypodense lesions in the pons. A diagnosis of central pontine myelinolysis was made. She recovered slowly and was discharged from hospital 17 days after admission.

摘要

一位 41 岁女性在布兰太尔的一家医疗中心接受霍乱治疗。出院后两天,她出现四肢无力和言语困难等症状。她被转诊到伊丽莎白女王中央医院。脑部 CT 扫描显示脑桥有低密病灶。诊断为脑桥中央髓鞘溶解症。她恢复缓慢,入院 17 天后出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f54e/10645902/b915a7d005ef/MMJ3501-0067Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f54e/10645902/b915a7d005ef/MMJ3501-0067Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f54e/10645902/b915a7d005ef/MMJ3501-0067Fig1.jpg

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本文引用的文献

1
Risk factors for central pontine and extrapontine myelinolysis after liver transplantation: a single-center study.肝移植后中央桥脑和脑桥外髓鞘溶解的危险因素:一项单中心研究。
Transplantation. 2015 Jun;99(6):1257-64. doi: 10.1097/TP.0000000000000496.
2
Identifying risk factors for central pontine and extrapontine myelinolysis after liver transplantation: a case-control study.肝移植后脑桥中央和脑桥外髓鞘溶解症的危险因素识别:一项病例对照研究。
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中央桥脑髓鞘溶解症,最新进展
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Central pontine myelinolysis: a hitherto undescribed disease occurring in alcoholic and malnourished patients.中央pontine髓鞘溶解症:一种迄今未被描述的疾病,发生于酗酒和营养不良的患者。
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Hyponatremia.低钠血症
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J Neurol. 1999 Aug;246(8):700-5. doi: 10.1007/s004150050435.
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Central pontine myelinolysis as a result of treatment of hyperemesis gravidarum. Case report.
Br J Obstet Gynaecol. 1988 Jun;95(6):621-3. doi: 10.1111/j.1471-0528.1988.tb09496.x.
9
Neurological manifestations and morbidity of hyponatremia: correlation with brain water and electrolytes.低钠血症的神经学表现及发病率:与脑水和电解质的相关性
Medicine (Baltimore). 1976 Mar;55(2):121-9. doi: 10.1097/00005792-197603000-00002.