[Central pontine and extra-pontine myelinosis in alcoholic patient with Shoshin beriberi].
The central pontine myelinosis is classically related with rapid correction of chronic hyponatremia. Recently, important additional factors have been described in the pathogenesis of this condition. We report the case of a 43-year-old alcoholic malnourished man, with acute renal failure with dialytic treatment, and output failure Shoshin beriberi. He had tetraplegy and coma. Confirmation of pontine and extrapontine myelinosis by magnetic resonance imaging, and abnormalities on auditive evoked potentials are described.
Aguiar
Aluska C
AC
Instituto de Neurologia de Goiânia, Goiânia, GO, Brazil.
Costa
Vanessa M
VM
Ragazzo
Paulo C
PC
Caiado
Roberto R
RR
Gusmão
Carlos A
CA
Melo-Souza
Sebastião Eurico de
SE
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D000437:Alcoholism / Q000150:complications*; D001602:Beriberi / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000150:complications; D017590:Myelinolysis, Central Pontine / Q000175:diagnosis / Q000209:etiology*