title: A case of acute onset parkinsonism.
abstract: Extra pontine myelinolysis (EPM) is a form of osmotic demyelination syndrome, characterized by the presence of signal alterations in varied sites in the brain other than the pons. When caudate and putamen are involved, it results in a constellation of extra pyramidal signs and symptoms resembling parkinsonism. Here we report a case of this unique syndrome presenting with features of parkinsonism which was successfully treated with dopaminergic drugs.
authors.forename: Teny Mathew
authors.initials: TM
authors.lastname: John
authors.affiliation: Department of Medicine, Government Medical College, Kottayam, Kerala, India.
authors.forename: Ceena Neena
authors.initials: CN
authors.lastname: Jacob
authors.affiliation: Department of Medicine, Government Medical College, Kottayam, Kerala, India.
authors.forename: Jerry
authors.initials: J
authors.lastname: Xavier
authors.affiliation: Department of Medicine, Government Medical College, Kottayam, Kerala, India.
authors.forename: Saifudeen
authors.initials: S
authors.lastname: Kondanath
authors.affiliation: Department of Medicine, Government Medical College, Kottayam, Kerala, India.
authors.forename: Cherian C
authors.initials: CC
authors.lastname: Ittycheria
authors.affiliation: Department of Medicine, Government Medical College, Kottayam, Kerala, India.
authors.forename: R
authors.initials: R
authors.lastname: Jayaprakash
keywords: cxtrapontine myelinolysis (EPM); hyponatremia; osmotic demyelination; parkinsonism