Dieterle L, Staudacher T
Abteilung für Neurologie und Neurophysiologie, Oberschwaben Klinik GmbH, St. Elisabethenkrankenhaus, Ravensburg.
Nervenarzt. 1998 Aug;69(8):698-701. doi: 10.1007/s001150050331.
We present the case report of a young woman who suffered from schizophrenia-like psychosis leading to polydipsia and consequent water intoxication. Because of progressive somnolence and epileptic seizures therapy on the intensive care unit became necessary. Findings of MRI and cerebrospinal fluid were consistent with the diagnosis of chronic inflammatory disease of the central nervous system. As other possible causes could be excluded, multiple sclerosis seemed to be most probable. Simultaneous incidence of schizophrenia and multiple sclerosis and the differential diagnosis of central pontine myelinolysis following hyponatremia are discussed.
我们报告了一名年轻女性的病例，她患有类似精神分裂症的精神病，导致烦渴并继而引发水中毒。由于出现进行性嗜睡和癫痫发作，必须在重症监护病房进行治疗。磁共振成像（MRI）和脑脊液检查结果与中枢神经系统慢性炎症性疾病的诊断相符。由于排除了其他可能的病因，多发性硬化症似乎是最有可能的诊断。本文还讨论了精神分裂症和多发性硬化症的同时发病情况以及低钠血症后中枢桥脑髓鞘溶解症的鉴别诊断。
