[Clinical course and evolution of lesion in MRI in central pontine myelinolysis in a patient abusing alcohol].
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.
Waniek
Joanna
J
Zespołu Profilaktyki i Leczenia Uzaleznień, Instytutu Psychiatrii i Neurologii w Warszawie.
Habrat
Bogusław
B
Kulczycki
Jerzy
J
Łysiak
Zofia
Z
Kozłowski
Piotr
P
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
Przebieg kliniczny i ewolucja zmian w obrazie MRI centralnej mielinolizy mostu u pacjentki uzaleznionej od alkoholu.