title: [Clinical course and evolution of lesion in MRI in central pontine myelinolysis in a patient abusing alcohol].
abstract: The authors report a 44-year-old patient with at least a 10-year history of alcohol abuse in whom an organic brain syndrome developed with cerebellar ataxia, left-side hemiparesis and bulbar symptoms. MR imaging of the head demonstrated a large hyperintense focus in T2-weighted images involving the central part of the pons. Central pontine myelinolysis was diagnosed. Laboratory investigations showed no hyponatraemia. After withdrawal treatment and motor function rehabilitation the neurological symptoms regressed nearly completely. After 18 months control MR imaging demonstrated considerable reduction in the size of the myelinolysis area in the brainstem, despite the fact that the patient resumed alcohol drinking.
authors.affiliation: Zespołu Profilaktyki i Leczenia Uzaleznień, Instytutu Psychiatrii i Neurologii w Warszawie.
authors.forename: Joanna
authors.initials: J
authors.lastname: Waniek
authors.forename: Bogusław
authors.initials: B
authors.lastname: Habrat
authors.forename: Jerzy
authors.initials: J
authors.lastname: Kulczycki
authors.forename: Zofia
authors.initials: Z
authors.lastname: Łysiak
authors.forename: Piotr
authors.initials: P
authors.lastname: Kozłowski
mesh_terms: D000328:Adult; D019973:Alcohol-Related Disorders / Q000473:pathology; D000437:Alcoholism / Q000150:complications* / Q000534:rehabilitation; D001921:Brain / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D017590:Myelinolysis, Central Pontine / Q000209:etiology* / Q000473:pathology; D013997:Time Factors
vernacular_title: Przebieg kliniczny i ewolucja zmian w obrazie MRI centralnej mielinolizy mostu u pacjentki uzaleznionej od alkoholu.