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VOLUME 26 , ISSUE 9 ( September, 2022 ) > List of Articles

CASE REPORT

Central Pontine Myelinolysis: A Case Report

Richa Tiwari, Anju Kumari

Keywords : Central pontine myelinolysis, Chronic alcoholic, Hyponatremia

Citation Information : Tiwari R, Kumari A. Central Pontine Myelinolysis: A Case Report. Indian J Crit Care Med 2022; 26 (9):1049-1051.

DOI: 10.5005/jp-journals-10071-24311

License: CC BY-NC 4.0

Published Online: 31-08-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Central pontine myelinolysis (CPM) classically occurs due to rapid rise in serum osmolarity. Most cases have been associated with a history of chronic alcohol abuse, malnutrition, diuretic abuse, and hyponatremia. The pathological process of CPM starts in the central pons near median raphe and spreads out “like a brush Fire” into the surrounding basis pontis. Extrapontine sites such as internal capsule, basal ganglia, cerebellum, and cerebrum can also be affected. We report a case of 60-year-old male with history of chronic alcoholism who presented to us with severe neurological deficits 10 days after his episode of severe hyponatremia.


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