Central pontine myelinolysis in a pediatric head injury patient.
Central pontine myelinolysis occurs inconsistently as a complication of severe and prolonged hyponatremia, particularly when corrected too rapidly. It is a concentrated, frequently symmetric, noninflammatory demyelination within the central basis pontis. We describe a head injury patient who suffered this clinical entity as a consequence of rapidly corrected hyponatremia. Clinical manifestation and radiological findings are described along with a review of the pertinent literature.
Department of Neurosurgery, Sahara Hospital, Lucknow, India. gkp.deepak@gmail.com
Deepak Kumar
DK
Singh
Manu
M
Rastogi
Mazhar
M
Husain
D002648:Child; D006259:Craniocerebral Trauma / Q000150:complications* / Q000473:pathology; D038524:Diffusion Magnetic Resonance Imaging; D006801:Humans; D007010:Hyponatremia / Q000150:complications* / Q000473:pathology / Q000628:therapy; D008297:Male; D017590:Myelinolysis, Central Pontine / Q000209:etiology* / Q000473:pathology; D011379:Prognosis; D011782:Quadriplegia / Q000209:etiology / Q000473:pathology