P991029c - Hyponatremia - Central Pontine Myelinosis Initially named central pontine myelinolysis, this disease is nowknown to also affect extrapontine brain areas. Manifestations http://www.emory.edu/WHSCL/grady/amreport/litsrch99/p991029c.html
Extractions: Hyponatremia - Central Pontine Myelinosis 10/29/99 (Walker) Question: What are the best ways to avoid central pontine myelinosis as a consequence of therapy for hyponatremia? Link Directly to Fulltext article in Ovid Unique Identifier: 97127952 Authors: Laureno R. Karp BI. Institution: Washington Hospital Center, Washington, D.C., USA. Title: Myelinolysis after correction of hyponatremia [see comments]. [Review] [49 refs] Source: Annals of Internal Medicine. 126(1):57-62, 1997 Jan 1. Fulltext Available in EBSCO using HEALTH SOURCE PLUS and the search term: Hyponatremia: focus on therapy Unique Identifier: 95064213 Authors: Oster JR. Singer I. Institution: Department of Veterans Affairs Medical Center, Miami, Fla. Title: Hyponatremia: focus on therapy [see comments] [published erratum appears in South Med J 1995 Sep;88(9):927]. [Review] [51 refs] Source: Southern Medical Journal. 87(12):1195-202, 1994 Dec. Morning Report Emory University School of Medicine 1999 Edition Participating Faculty: Daniel Stephens MD / Donald Brady MD dbrady@emory.edu
OA Abstract The central pontine myelinolysis was first described by Adams et al in1959 .It is usually associated with hyponatremia or rapid correction of this http://www.cmj.org/luobenyan2.htm
Extractions: Pontine and extrapontine myelinolysis caused by hyponatremia: Report of two cases LUO Benyan ZHANG Minming , RUAN Lingxiang , JIN Haiqing , WANG Qidong , ZHANG Kan Deparments of Neurology (Luo BY, Jin QH and Zhang K) and Radiology (ZhangMM, Ruan LX and Wang QD). First Hospital Zhejiang Uniersity.HangZhou 310009,China Key words hyponatremia myelinolysis Chin Med J 2002;115(6):987-988 Abstract: The central pontine myelinolysis was first described by Adams et al in 1959 .It is usually associated with hyponatremia or rapid correction of this condition. It is an uncommon complication in sick patients with severe underlying disorders such as chronic alcoholism, malignancy, malnutrition, hyponatraemia , hyperhydrated postoperatively, and in other clinical situations .We report two cases of myelinolysis caused by hyponatremia and cyclosporine. They are characterized by mental status changes, one of which had quadriplegia and pseudobulbar palsy. Brain MRI shows hyperintens
OA . 1. Laureno R. central pontine myelinolysis followingrapid correction of hyponatremia. central pontine myelinolysis. http://www.cmj.org/luobenyan1.htm
Extractions: Risks include hyponatremia from any cause. Alcoholism Wernicke-Korsakoff syndrome , and general ill health and malnutrition associated with serious illnesses (cachexia) increase the risk of central pontine myelinolysis. This condition does not occur spontaneously but results from other conditions that cause the damage.
ThirdAge - Adam - Central Pontine Myelinolysis central pontine myelinolysis. Alternative Names CPM. Symptoms WeaknessIn the face, arms, and/or legs; Usually affecting both sides of the body. http://www.thirdage.com/health/adam/ency/article/000775sym.htm
Extractions: Signs and tests: Examination may indicate involvement of all four extremities (spastic quadriplegia) or weakness of face, arms and legs (upper motor neuron syndromes). Reflexes may be abnormal. Eye examination may show loss of control of eye muscles, particularly cranial nerve VI paralysis (see cranial mononeuropathy VI
Extractions: This article has been cited by other articles: Sugimoto, T, Murata, T, Omori, M, Wada, Y (2003). Central pontine myelinolysis associated with hypokalaemia in anorexia nervosa. J. Neurol. Neurosurg. Psychiatry [Abstract] [Full Text] Saeed, B O, Beaumont, D, Handley, G H, Weaver, J U (2002). Severe hyponatraemia: investigation and management in a district general hospital. J Clin Pathol [Abstract] [Full Text] Polster, T, Hoppe, M, Ebner, A (2001). Transient lesion in the splenium of the corpus callosum: three further cases in epileptic patients and a pathophysiological hypothesis. J. Neurol. Neurosurg. Psychiatry
Directory :: Look.com central pontine myelinolysis (3) EMedicine central pontine myelinolysis An introduction,clinical features, differencials, work up, treatment and follow up. http://www.look.com/searchroute/directorysearch.asp?p=526797
Periodic Paralysis Association The rapid correction of hyponatremia may cause central pontine myelinolysis, a disorderinitially associated with alcoholism or malnutrition but now more often http://www.periodicparalysis.org/PPRC/DietAndNutrition/DietNutritionView.asp?die
Central Pontine Myelinolysis central pontine myelinolysis. The most common cause of central pontine myelinolysisis a rapid, drastic change in sodium levels in the body. http://www.umm.edu/ency/article/000775.htm
Extractions: Causes, incidence, and risk factors: The destruction of the myelin sheath that coats nerves inhibits impulse conduction within the cell and thus decreases its ability to communicate with other cells. The most common cause of central pontine myelinolysis is a rapid, drastic change in sodium levels in the body. Most commonly, this occurs when someone is being treated for low levels of sodium ( hyponatremia ) and the levels rise too fast, but it can occasionally occur when high levels of sodium in the body (hypernatremia) are corrected too quickly. This condition does not occur spontaneously; it is a complication of either treatment for other conditions or the other conditions themselves. Risks include hyponatremia from any cause.
Resourses central pontine myelinolysis .. Central PontitneMyelinolysis Central Pontitne Myelinolysis Central Pontine http://sargon.mmu.ac.uk/RESORCE3.HTM
New Document Much has been written about treatment of hyponatremia and the potentialadverse outcome of central pontine myelinolysis. This condition http://www.trirats.org/hypo_article.html
Extractions: Links/Resources I'm writing this to "the big list", the PA Buzzards, Virginia Happy Trails Running Club, the Montgomery County Road Running Club (in Maryland) and a few others to say THANK YOU SO VERY MUCH for the Get Well Wishes, Cards, Flowers, and overall concern and support. Wow! I have a lot of wonderful friends! I am writing to so many people for a few reasons - first, I have received many inquires about how I am doing after the Vermont 100 miler. Also, many people heard about what happened (which I'll explain below) but only got parts of the story. So you'll get the story here - as best I know it, from me, Michele Burr - the person who got a severe case of hyponatremia at VT100. The people who do know about my getting hyponatremia have urged me to post something so that people are aware of this very serious problem. I must admit, I don't remember much because I had a seizure and went into a coma but I have pieced together many things from people who saw me at the end of the race and from talking with my husband, who thank God, was there at the finish line and with me during my 5 day stay at two hospitals in Vermont and then New Hampshire. WHAT ARE THE SYMPTOMS? The answer to this question is the scary part and why this is such a medical emergency when it occurs. ****Many of the symptoms are NEUROLOGICAL in origin.**** Level of alertness can range from agitation to a coma state. Variable degrees of cognitive impairment (eg, difficulty with short-term recall; loss of orientation to person, place, or time; frank confusion or depression). Other symptoms include seizure activity and irrational behavior. In patients with acute severe hyponatremia, signs of brainstem herniation, including coma; fixed, unilateral, dilated pupil; decorticate or decerebrate posturing; and respiratory arrest. Coma and seizures usually occur only with acute reduction of the serum sodium concentration to less than 120 mEq/L. (Remember my sodium level was at 113 mEq/L.)
Abstract Case Report. central pontine myelinolysis secondary to cytomegalovirus hepatitisin a 10month-old child. central pontine myelinolysis - CMV - MRI - Infant, http://link.springer-ny.com/link/service/journals/00247/contents/02/00722/s00247
Extractions: N. Cagla Tarhan , Ali Firat , Arzu Otken , A. Muhtesem Agildere and Fulya Demirceken Fevzi Cakmak Cad. 10. Sok. No:45, 06490 Bahcelievler, Ankara, Turkey Sami Ulus Children's Hospital, Department of Paediatrics, Ankara, Turkey Abstract. We present a 10-month-old child with central pontine myelinolysis (CPM) secondary to chronic active hepatitis due to cytomegalovirus (CMV) infection. A total of 35 paediatric cases of pontine and/or extrapontine myelinolysis are reported and, to our knowledge, CPM secondary to CMV hepatitis in an infant has not been previously reported. The MRI findings are highlighted. Keywords. Central pontine myelinolysis - CMV - MRI - Infant E-mail: caglat@baskent-ank.edu.tr
Extractions: Received: 6 March 1998 / Revised, accepted: 11 May 1998 Abstract Central pontine myelinolysis (CPM) is an uncommon complication in sick patients with severe underlying disorders such as chronic alcoholism, malignancy, malnutrition and hyponatraemia. We report two patients with advanced HIV infection who developed CPM. In one case the diagnosis was not suspected in life, in the other the diagnosis was made just before death, on the basis of magnetic resonance (MR) imaging appearances. At post mortem there was a close correlation between the MR abnormalities and the anatomic changes in the pons. Key words Article in PDF-Format (414 KB) Online publication: September 25, 1998
Ask Jeeves: Search Results For "Nervous System Figure" http//gwis2.circ.gwu.edu/~atkins/Neuroweb/autonomic.html 3. central pontine myelinolysiscentral pontine myelinolysis A condition characterized by damage to http://webster.directhit.com/webster/search.aspx?qry=Nervous System Figure
Michele Burr's Vermont 100 Hyponatremia QUICKLY). Much has been written about treatment of hyponatremia and thepotential adverse outcome of central pontine myelinolysis. This http://www.ultrarunner.org/vt100micheleburr.htm
Extractions: Date: Tue, 30 Jul 2002 21:03:20 Hi everyone, I'm writing this to "the big list", the PA Buzzards, Virginia Happy Trails Running Club, the Montgomery County Road Running Club (in Maryland) and a few others to say THANK YOU SO VERY MUCH for the Get Well Wishes, Cards, Flowers, and overall concern and support. Wow! I have a lot of wonderful friends! I am writing to so many people for a few reasons - first, I have received many inquires about how I am doing after the Vermont 100 miler. Also, many people heard about what happened (which I'll explain below) but only got parts of the story. So you'll get the story here - as best I know it, from me, Michele Burr - the person who got a severe case of hyponatremia at VT100. The people who do know about my getting hyponatremia have urged me to post something so that people are aware of this very serious problem. I must admit, I don't remember much because I had a seizure and went into a coma but I have pieced together many things from people who saw me at the end of the race and from talking with my husband, who thank God, was there at the finish line and with me during my 5 day stay at two hospitals in Vermont and then New Hampshire.
Hyponatremia And Myelinolysis, Annals 15 Jul 97 1991;1975862. 3. Tien R, Arieff AI, Kucharczyk W, Wasik A, Kucharczyk J. Hyponatremicencephalopathy is central pontine myelinolysis a component? Am J Med. http://www.acponline.org/journals/annals/15jul97/letter1.htm
Extractions: Related Article To the Editor: Annals in which their review appears. In summary, brain damage from hyponatremic encephalopathy due to delayed onset of therapy is at least 24 times more likely than brain damage due to improper therapy. Most patients who have brain damage secondary to hyponatremic encephalopathy are young (menstruant) women (4), whereas those who have brain damage from a change in plasma sodium concentration usually have end-stage liver disease. J. Carlos Ayus, MD
Myelinolysis After Correction Of..., Annals 1 Jan 97 weighted magnetic resonance imaging scan showing a symmetrical area of increasedsignal in the center of the pons consistent with central pontine myelinolysis. http://www.acponline.org/journals/annals/01jan97/myelout.htm
Volume 95 January - December 1972 central pontine myelinolysis a clinical and pathological study of 10 cases.HH . Goebel and PHB . Zur. Pages 495 - 504. Part of the OUP Brain WWW service. http://www3.oup.co.uk/jnls/supplements/braini/hdb/Volume_95/Issue_03/950495.sgm.
La Imagen Del Mes Translate this page central pontine myelinolysis a hitherto undescribed disease occurring in alcoholicand malnourished patients. Is central pontine myelinolysis a component? http://www.rochelink.roche.com.ar/pub/rnarg/med/revista1/imagen.htm
Central Pontine Myelinolysis In A Patient With AIDS [letter] Click here to return to AIDSLINE main menu central pontine myelinolysisin a patient with AIDS letter J Neurol Neurosurg Psychiatry. http://www.aegis.com/pubs/aidsline/1992/nov/M92B0785.html
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