Central pontine and extrapontine myelinolysis after alcohol withdrawal.
Central pontine myelinolysis (CPM) and extrapontine myelinolysis (EPM) are well-recognized syndromes that are related to various conditions such as rapid correction of hyponatremia and chronic alcoholism. We report a very case of a patient with dysarthria, dysphagia and psychiatric symptoms including abnormal behavior starting after alcohol withdrawal, with radiological evidence of CPM and EPM. There was little improvement in the dysarthria or psychiatric symptoms in the first month.
Yoon
Bora
B
Department of Neurology, The Catholic University of Korea, Our Lady of Mercy Hospital 665, Bupyeong 6-dong, Bupyeong-gu, Incheon, Korea.
Shim
Yong-Soo
YS
Chung
Sung-Woo
SW
D000437:Alcoholism / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017590:Myelinolysis, Central Pontine / Q000175:diagnosis* / Q000209:etiology* / Q000523:psychology; D013375:Substance Withdrawal Syndrome / Q000150:complications* / Q000175:diagnosis / Q000523:psychology