Evolving spectrum of movement disorders in extrapontine and central pontine myelinolysis

2002 ◽  
Vol 9 (2) ◽  
pp. 117-119 ◽  
Author(s):  
A.B.H. Seah ◽  
L.L. Chan ◽  
M.C. Wong ◽  
E.K. Tan
1992 ◽  
Vol 7 (2) ◽  
pp. 142-148 ◽  
Author(s):  
Demetrius M. Maraganore ◽  
W. Neath Folger ◽  
Jerry W. Swanson ◽  
J. Eric Ahlskog

2007 ◽  
Vol 18 (2) ◽  
pp. 131-134 ◽  
Author(s):  
Jung Im Seok ◽  
Dong Kuck Lee ◽  
Min Gu Kang ◽  
Jae Han Park

Central pontine myelinolysis (CPM) and extrapontine myelinolysis (EPM) are well recognized syndromes related to the rapid correction of hyponatremia, which are reported to show brain stem signs and various movement disorders. Cognitive dysfunction and neuropsychological findings, however, have seldom been reported. Cognitive manifestations in osmotic myelinolysis may have been underestimated due to the prominent brain stem symptoms and movement disorders. We report a case of EPM without CPM and describe the neuropsychological findings of EPM. The absence of CPM in this case made it possible to test neuropsychological function in the acute stage.Neuropsychological testing showed severe impairment of attention, verbal and visual memory, visuospatial function, and frontal/executive function. Language and language-related functions were normal except naming.


Author(s):  
Anoop AS ◽  
Lakshmiprasad L. Jadhav ◽  
Sruthy Nair ◽  
Rohan Mohandas

A 56 year old male patient was admitted to S.D.M Ayurveda Hospital, Hassan, Karnataka with the confirmed diagnosis of Central Pontine Myelinolysis (CPM) on 11/12/17. The chief complaints were weakness of both hands and legs, stiffness in both hands and legs, pain in both shoulder joints, slurred speech, difficulty in walking with gait changes. H/O chronic alcoholism. MRI brain showed pontine and basal ganglia diffusion restriction - Acute Pontine Myelinolysis. The serum electrolyte showed serum sodium level as 128 mmol/litre. This disease can be understood as Samana Avruta Vyana in hyponatremic encephalopathy stage and the stage of myelinolysis can be understood as Sarvanga Vata with Kapha Avruta Udana and Vyana. After clinical evaluation, Avarana Chikitsa was started followed by Kevala Vatika Chikitsa and significant improvement was seen. Significant result was observed in subjective and objective parameters after the treatment. The patient was discharged with oral medications for 1 month.


2006 ◽  
Vol 28 (3) ◽  
pp. 360-366 ◽  
Author(s):  
Suresh Kumar ◽  
Marjorie Fowler ◽  
Eduardo Gonzalez-Toledo ◽  
S. L. Jaffe

2008 ◽  
Vol 21 (4) ◽  
pp. 390-391 ◽  
Author(s):  
Fuat H. Saner ◽  
Susanne Koeppen ◽  
Marco Meyer ◽  
Matthias Kohnle ◽  
Stefan Herget-Rosenthal ◽  
...  

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