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Extrapontine Myelinolysis: more detail

Methylphenidate Treatment of Neuropsychiatric Symptoms of Central and Extrapontine Myelinolysis(*).: An article from: Journal of Studies on Alcohol by Denise Bridgeford, David B. Arciniegas, et all 2000-09-01

81. IM Abstract 39-11 Case Reports 11
Slowly Progressive Dystonia Following Central Pontine and ExtrapontineMyelinolysis. A 28year-old woman was hospitalized with dysarthria
http://www.naika.or.jp/im/im39/ab3911/c391111.html

82. Thammasat Medical Journal
? 3 ? Central Pontine and ExtrapontineMyelinolysis A study of 3 cases in Ramathibodi hospital.
http://www.med.tu.ac.th/Journal/journal2_2.html
Central Pontine and Extrapontine Myelinolysis : A study of 3 cases in Ramathibodi hospital
THE DEVELOPMENT OF A HEALTH SYSTEM ADMINISTRATIVE MODEL FOR FIRST-
LEVEL TAMBON ADMINISTRATION ORGANIZATIONS IN PATHUMTHANI PROVINCE
Study on health behaviors concerning Helminthiasis in different age groups
Factors affected acceptance of screening for thalassemia in pregnant women
at Thammsat Hospital
Knowledge attitude and experience of thai traditional medicine of Thammasat University
officers.
(Student - centred learning)
Communication skill in critical situation

83. úåãwG@2000N5E59ª5
The summary for this Japanese page contains characters that cannot be correctly displayed in this language/character set.
http://www.med.nihon-u.ac.jp/department/NUMA/No59-5/MRI.html
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ì³V@uû¦è³@JqF 54ÎA« åi: Ó¯áQ ÁL·×«±ÆÈµB 1992Næè¸_ªôaB »að: ª`o³êACPM¨æÑ extrapontine myelinolysis(EPM)Æmfµ½B¸¸ÁÚ IÉÄ721úA_oàÈÉ]@µ½B oß:
´SâöóÇ(central pontine myelinolysis:CPM) ÍA1959NAAdamsçª´êÉñÇ«EðFß½ 4áÌ«AR[Å³ÒðßÄñµA¾³T Oªm§³ê½BÕ°IÉÍAlÌáz«áEá EÓ¯áQÈÇðæµA_oawIÉÍAåaÏÆ µÄ´êÌSÉÎÌ«ÌñÇ«Eª©çêA EªÌoligodendrocyteÍ¸·éªA_o×EE² õEÇÍärIÇÛ½êA´ÌüÓàÛ½êé ðÁ¥Æ·éAÜ½AdÇáÅÍA´íWâ]E¬ ]rÉÜÅaÏªyÔ±Æª éBÈ¨A´ÈOÉå] îêjE°Eå]â¬]Ìç¿¨æÑç¿¿«E EÒÈÇÉEaÏª©çêé±Æª èA´O^ âöóÇ(extrapontine myelinolysis:EPM)ÆÄÎêÄ¢ éB Åà¯lÌ©ª Ï@³ê½BCPMEEPMÌaÏÍú©çMRIÅFß çêAffÉñíÉLpÅ éªAæ©ÌüPÍA Õ°ÇóÌüPæèxêÄ©çêé½ßi¶£17jAoßð©é ÉÍ_owIf@©ªdvÅ éB
1)Adams RD, Victor M, Mancall EL:Central pontine myelinolysis. A hitherto undescribed disease occurring in alcoholic and malnourished patients. Arch Neurol Psychiatry, 81:154-172 (1959)

84. Sjukdom, Sjukdomslista På Engelska, Michel Tandläkare Ta Hand Om Dig
Erythema Infectiosum. Erythema Multiforme. Esophageal Diseases. ExtrapontineMyelinolysis. F. Fabry s Disease. Facial Differences. Facial Paralysis.
http://www26.brinkster.com/privtand/sjuk.htm
var google_language="en"; var adHB=true; wDoL("top","SS2XPLI"); wCls("SS2XPLI"); wDoL("btm","SS2XPLI"); showA("SS2XPLI");
Note: search with CTRL + F A Aarskog Syndrome Aase Syndrome Abetalipoproteinemia Ablepharon-Macrostomia Syndrome Achilles Tendonitis Achondroplasia Acoustic Neuroma Acromegaly Activated Protein C Resistance Acute Idiopathic Polyneuritis ADD and ADHD Addiction and Recovery Addison's Disease Adiposis Dolorosa Adjustment Disorders Adrenoleukodystrophy Agnosia Agoraphobia Aicardi Syndrome AIDS Alagille Syndrome Albinism Alcoholism Alexander Disease Alkaptonuria Allergies Alopecia Alpers' Disease Alpha1 Antitrypsin Deficiency Alport Syndrome Alstrom Syndrome Alternating Hemiplegia Altophobia Alzheimer's Amblyopia Amputee Amyloidosis Amyoplasia Congenita Amyotrophic Lateral Sclerosis Anal Fissures Anemia Anencephaly Aneurysm Angina Pectoris Anophthalmos Anorexia Anosmia Anterior Knee Pain Syndrome Antiphospholipid Syndrome Anxiety Aortic Valve Disease Apert Syndrome Aphasia Aplastic Anemia Apnea, Sleep

85. BrainTF19 -Porphyria_Text
intermittent porphyria. MRI may show central pontine and extrapontinemyelinolysis and/or cortical laminar necrosis. These are not
http://www.mribhatia.com/braintf19/braintf19text.html
BrainTF19 -Porphyria
Clinical Profile:
Patient is a fourteen year old boy who is a known case of porphyria. He presented with weakness of the right upper extremity, seizures and abdominal cramps.
Findings:
There are hyperintense areas on the Proton, T2W and FLAIR images along the cortex and subcortical white matter in the left fronto-parieto-temporal lobes and in the right centrum semiovale. These are hypointense on the T1W images. Similar signal changes are seen in the lentiform and caudate nuclei, bilaterally, in a symmetric fashion. These changes would be most likely ischemic in etiology.
Discussion:
Porphyria is a group of at least eight disorders that differ considerably from each other. A common feature in all is the accumulation in the body of "porphyrins" or "porphyrin precursors". Though normal body chemicals, they normally do not accumulate. Which of these chemicals builds up depends upon the type of porphyria. The symptoms arise mostly from effects on the nervous system or the skin. Effects on the nervous system occur in the acute porphyrias. Skin manifestations can include burning, blistering and scarring of sun-exposed areas. The terms "porphyrin" and "porphyria" are derived from the Greek word "porphyrus" meaning purple. Urine from some porphyria patients may be reddish in color due to the presence of excess porphyrins and related substances, and the urine may darken after standing in light. In each type of porphyria there is a deficiency of a specific "enzyme". These enzymes are involved in the synthesis of heme (found in largest amounts in the bone marrow, red blood cells and the liver). Heme exists as hemoglobin in the bone marrow and red blood cells but has other functions in other tissues such as the liver. The type of porphyria present is determined by which enzyme is deficient. These enzyme deficiencies are usually inherited. The different type of porphyrias are as follows:

86. NEWS Detail
The evidence suggests that the neurological complication of pontine and extrapontinemyelinolysis is a consequence of the rapid correction of hyponatraemia
http://www.imj.ie/news_detail.php?nNewsId=2899&nVolId=107

87. David B
Methylphenidate Treatment of Neuropsychiatric. Symptoms of Central and ExtrapontineMyelinolysis. Journal of Studies on Alcohol, 61657660, 2000. 12.
http://www.uchsc.edu/sm/psych/dept/faculty/arciniegas_d.htm
David B. Arciniegas, M.D.
Assistant Professor of Psychiatry and Neurology
University of Colorado Health Sciences Center, Denver, Colorado
To conact, e-mail: David.Arciniegas@UCHSC.edu RESEARCH AND PROFESSIONAL EXPERIENCE: Experience: 1992 1993 Internship in Community Medicine, University of Colorado Health Sciences Center (UCHSC) 1993 1996 Residency in Adult Psychiatry, UCHSC 1995 1996 Chief Resident in Consultation-Liaison Psychiatry, UCHSC 1996 1998 Instructor/Fellow in Psychiatry, UCHSC 1996 1999 Fellowship in Neuropsychiatry and Clinical Neuroscience Research, UCHSC 1996 1999 Fellowship in Neuroscience Research and Traumatic Brain Injury, Denver VAMC 1996 1998 Associate Director of Medical Student Education, Department of Psychiatry, UCHSC 1997 Director, Neuroscience Course, Adult Psychiatry Residency Training Program, UCHSC 1998 1999 Instructor/Fellow in Psychiatry and Neurology, UCHSC 1998 Member, Behavioral Neurology Section, Department of Neurology, UCHSC 1998 Director of Medical Education, Colorado Mental Health Institute at Pueblo, Pueblo, CO

88. Revista Médica De Chile - Mielinolisis Central Pontina E Hiponatremia: Un Probl

http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000400012&l

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BrainTF19 -Porphyria

Clinical Profile:

Findings:

Discussion:

David B. Arciniegas, M.D.

Assistant Professor of Psychiatry and Neurology

University of Colorado Health Sciences Center, Denver, Colorado

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