Fornalska Z, Chmielowski M, Klimek A
Oddziału Neurologii i Wojewódzkiego Szpitala Zespolonego, Lodzi.
Neurol Neurochir Pol. 1998 May-Jun;32(3):663-70.
In 1959 year Adams, Victor and Mancella described central pontine myelinolysis (CPM) as a disease of fulminant course and fatal prognosis. In the typical cases progressive tetraparesis with bulbar signs results in severe crippledom or death. The disease was diagnosed before only by autopsy, as soon as the modern radiological technics i.e., CT and MRI were developed it is sometimes successfully diagnosed with patients alive. The authors present the case of 62-year old woman suffering from slight hemiparesis which made use to perform the CT examination. It showed central pontine lesion which was confirmed by MRI examination. The authors suggest that there are not only typical cases of CPM but also the asymptomatic ones as presented above.
1959年，亚当斯、维克多和曼切拉将桥脑中央髓鞘溶解症（CPM）描述为一种病程急骤、预后凶险的疾病。在典型病例中，进行性四肢轻瘫伴延髓症状会导致严重残疾或死亡。该病以前仅在尸检时才能确诊，随着现代放射技术即CT和MRI的发展，有时在患者存活时就能成功诊断。作者介绍了一名62岁女性的病例，该女性患有轻度偏瘫，因此进行了CT检查。CT显示桥脑中央病变，MRI检查证实了这一点。作者认为，不仅有CPM的典型病例，还有如上述的无症状病例。
