Arquivos De Neuro-Psiquiatria - Translate this page ABSTRACT - central pontine myelinolysis (CPM) and extra-pontine myelinolysis (EPM) are different presentations of a demyelinating disorder of the brain more http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000600028&l
Extractions: Abstract: We report four cases of central pontine myelinolysis (CPM) that illustrate important features of the disorder. The condition is described mainly in the neurological literature and, to our knowledge, is not discussed in the forensic science journals. This disorder must be recognized and understood by the forensic science expert who addresses issues of liability. In cases of multiple motor deficits and death with a history of hyponatremia, CPM must be included in the differential diagnosis. Careful examination of the pons and adjoining structures must be performed. Myelin stains are advisable. The association of CPM with major illnesses, hyponatremia and the correction of hyponatremia by intravenous saline infusions is discussed. Return to Search Page
► Central Pontine Myelinolysis Home Medical Reference Encyclopedia (English) Toggle English / Spanish central pontine myelinolysis. http://www.umm.edu/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
Resource Library Find Information On Central Pontine Myelinolysis Find information on central pontine myelinolysis at MerckSource. Learn more central pontine myelinolysis. Definition Central pontine http://www.mercksource.com/pp/us/cns/cns_hc_women_content_adam.jspzQzpgzEzzSzppd
Extractions: Extracted from IndMED Joshi SR; Deshpande AK; Shah SC. Central pontine myelinolysis : an iatrogenic sequelae of hyponatraemia management ? The Indian Practitioner. 1997 Jan; 50(1): 61-7 ABSTRACT: A 45 year old male alcoholic in an unconscious state with abnormal posture had hyperreflexia with extensor plantars. His hyponatraemia was corrected, yet he deteriorated and died. C T showed pontine and extrapontine myelinolysis which was confirmed on autopsy. This highlights the need for careful management of severe hyponatraemia and the role of gradual correction for the same. (The Ind. Pract. 1997; 50(1): 61-67). KEYWORDS: Myelinolysis, Central Pontine/DI; Hyponatremia/DT; Adrenal Cortex Hormones/DE; Data Interpretation, Statistical; Human; Male; Middle Age; Case Report References: 19 Record Identifier: NI203551
Extractions: Extracted from IndMED Bhowmik DM; Dandi BG; Kale SA; Wadia NH; Bulchand S Laslok Hospital and Research Centre, 15, Dr. G Deshmukh Marg, Bombay 400026 Central pontine myelinolysis in chronic renal failure : a case report. Indian Journal of Nephrology. 1992 Jan-Mar; 2(1): 19-20 ABSTRACT: We report a patient with renal failure, altered sensorium, bilateral cerebellar ataxia and pathological laughter. MRI showed demyelination of the pons and midbrain. He showed a complete recovery from the neurological deficit and successful renal transplantation was later carried out. KEYWORDS: Myelinolysis, Central Pontine/ET; Myelinolysis, Central Pontine/PA; Kidney Failure, Chronic/CO; Case REport; Human; Male; Adolescence References: 5 Record Identifier: NI002453
Extractions: Back to main Health Information page Central nervous system Definition: Central pontine myelinolysis is a condition characterized by nerve damage caused by the destruction of the covering layer ( myelin sheath) of nerve cells in the brainstem (pons). Alternative Names: CPM Causes And Risk: 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.
PharmGKB: Myelinolysis, Central Pontine Alternate Names Central Pontine Myelinoclasis; central pontine myelinolysis; Extrapontine Myelinoclases; Extrapontine Myelinoclasis; Extrapontine Myelinolyses http://www.pharmgkb.org/do/serve?objId=PA446520&objCls=Disease
Health Encyclopedia central pontine myelinolysis is a condition characterized by nerve damage caused by the destruction of the covering layer ( myelin sheath) of nerve cells in http://healthcontent.baptistnortheast.com/adamcontent/ency/article/000775.asp
Extractions: Overview Symptoms Treatment ... Prevention CPM Central pontine myelinolysis is a condition characterized by nerve damage caused by the destruction of the covering layer ( myelin sheath) of nerve cells in the brainstem (pons). 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.
Disease - Central Pontine Myelinolysis, North Carolina Disease central pontine myelinolysis, Online Medical Encyclopedia courtesy of University Health Systems of Eastern Carolina serving 29 counties in eastern http://www.uhseast.com/17636.cfm
Extractions: Back Email Us Search Centers of Excellence ... Disease Management Central nervous system Definition: Central pontine myelinolysis is a condition characterized by nerve damage caused by the destruction of the covering layer ( myelin sheath) of nerve cells in the brainstem (pons). Alternative Names: CPM Causes And Risk: 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.
P991029c - Hyponatremia - Central Pontine Myelinosis Initially named central pontine myelinolysis, this disease is now known 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
Central Pontine Myelinolysis central pontine myelinolysis. Definition The most common cause of central pontine myelinolysis is a rapid, drastic change in sodium levels in the body. http://www.shands.org/health/information/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. Alcoholism Wernicke-Korsakoff syndrome , and general ill health and malnutrition associated with serious illnesses (cachexia) increase the risk of central pontine myelinolysis.
Welcome To AJC! Ency. home Disease C central pontine myelinolysis. central pontine myelinolysis. Ency. home Disease C central pontine myelinolysis. http://www.ajc.com/search/healthfd/shared/health/adam/ency/article/000775.html
Extractions: Subscribe ... Register Now It's Free! Log in E-mail preferences Site Index Search: Site Yellow Pages Customer care ajc.com Nation/World Metro ... Personals ajc services Archives Advertise online Advertise in print Obituaries ... Sitemap Print edition Today This week A1 image E-mail News Sign up for our Ency. home Disease C Central pontine myelinolysis Overview Symptoms Treatment Prevention Definition: Central pontine myelinolysis is a condition characterized by neurologic damage caused by the destruction of the covering layer ( myelin sheath) of nerve cells in the brainstem (pons). Causes and Risks The destruction of the myelin sheath inhibits impulse conduction along the nerve cell. The most common cause of this condition is rapid correction of low sodium levels in the body (hyponatremia). Less commonly, this also occurs from rapid correction of high levels of sodium in the body (hypernatremia).
AIC News Release ADVANCED IMAGING CENTER PHYSICIAN NEWS, August 28, 2000. INTERESTING CASE PRESENTATION central pontine myelinolysis (CPM) Fig. 1, Fig. 2, Fig. 3, Fig. 4. http://www.aiclancaster.com/nl/nl_0027.htm
Extractions: Fig. 4 CLINICAL PRESENTATION: This 50-year-old male patient presented to the office of Dr. Jensen with numbness in the left aspect of the body. A brain MRI was ordered by Dr. David Jensen and Dr. Janumpally . Further history from the patient revealed history of chronic alcohol use. MRI FINDINGS: A brain MRI with and without gadolinium contrast was performed on AIC's high-field 1.5 Tesla Siemens Symphony scanner. Fig. 1 shows a midline sagittal T1 weighted image. Fig. 2-4 show the axial T1 weighted, turbo T2 weighted, and turbo FLAIR images, respectively, through the pons. There is a 2 x 2.5 cm abnormality occupying the majority of the pons characterized by low T1 and high T2 and FLAIR signal intensity. The pons is not enlarged. There is no mass effect on the 4th ventricle and no midline shift. No abnormal enhancement was observed on post-contrast images (not shown). MR diffusion and perfusion studies (not shown) were also negative for any acute infarct.
Extractions: Web Pages - ranked by popularity E-Medicine http://www.emedicine.com/neuro/topic50.htm Central Pontine Myelinolysis: An introduction, clinical features, differencials, work up, treatment and follow up. Drkoop: Medical Encyclopedia: Central Pontine Myelinolysis http://www.drkoop.com/ency/article/000775.htm A definition of central pontine myelinolysis, including the causes, risks, prevention, symptoms, diagnosis, treatment, prognosis and complications. Pediatric Database http://www.icondata.com/health/pedbase/files/CENTRALP.HTM A definition of central pontine myelinolysis, the epidemiology, pathogenesis, clinical features, investigations and management.
Penn State Faculty Research Expertise Database (FRED) Faculty Research Expertise Database. Myelinolysis, Central Pontine. Related Terms, central pontine myelinolysis, Extrapontine Myelinolysis. http://fred.hmc.psu.edu/ds/retrieve/fred/meshdescriptor/D017590
Entrez PubMed central pontine myelinolysis induced by hyperemesis gravidarum Article in Spanish Tonelli J, Zurru MC, Castillo J, Casado P, Di Prizito C, Gutfraind E http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
Entrez PubMed Wernicke s encephalopathy and central pontine myelinolysis induced by hyperemesis gravidarum. Peeters A, Van de Wyngaert F, Van http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8
Abstract In 1959 year Adams, Victor and Mancella described central pontine myelinolysis (CPM) as a disease of fulminant course and fatal prognosis. http://www.ia.pw.edu.pl/~wujek/neurol/str/3-98-e17.html
Extractions: 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 us 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. 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 us 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.
Central Pontine Myelinolysis In A Patient With AIDS [letter] Click here to return to AIDSLINE main menu DonateNow. central pontine myelinolysis in a patient with AIDS letter J Neurol Neurosurg Psychiatry. http://www.aegis.com/aidsline/1992/nov/M92B0785.html
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