Central Pontine and Extrapontine Myelinolysis in a Patient with Traumatic Brain Injury Following Not Rapid Correction of Hyponatremia: A Case Report
Korean Journal of Neurotrauma 2014³â 10±Ç 1È£ p.31 ~ p.34
¹éÅÂÇö(Baek Tae-Hyun) - Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Neurosurgery
¾ç½ÂÈ£(Yang Seung-Ho) - Catholic University St. Vincent¡¯s Hospital Department of Neurosurgery
¼ºÀçÈÆ(Sung Jae-Hoon) - Catholic University St. Vincent¡¯s Hospital Department of Neurosurgery
ÀÌ»ó¿ø(Lee Sang-Won) - Catholic University St. Vincent¡¯s Hospital Department of Neurosurgery
Abstract
Central pontine myelinolysis occurs inconsistently as a complication of severe and prolonged hyponatremia, particularly when corrected too rapidly. This condition is a concentrated, frequently symmetric, noninflammatory demyelination within the central basis pontis. We describe a head injury patient who developed central pontine and extrapontine myelinolysis following a gradual correction of hyponatremia. More attention should be paid to correcting hyponatremia combined with hypokalemia in patients who have a history of alcoholism.
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Central pontine myelinolysis, Hyponatremia, Head injury, Hypokalemia
KMID :
1143720140100010031
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