Extra-Pontine Myelinolysis in a Case of Pan-hypopituitarism Due to Empty Sella Syndrome.
Rapid correction of hyponatremia is known to cause central pontine myelinolysis (CPM). It may concurrently involve other areas of brain as well, referred as extra-pontine myelinolysis (EPM). Isolated EPM however is a very rare occurrence. We present a case of EPM where the hyponatremia was secondary to hypothyroidism due to empty sella syndrome. Chronic hyponatremia should always be corrected slowly to avoid such osmotic myelinolysis syndromes (OMS).
Assistant Professor.
Vishal Anand
VA
Gupta
Professor.
Niteen
N
Karnik
Assistant Professor.
Manish
M
Itolikar
Resident, Dept of Medicine, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra.
Ketan
K
Vekariya
D004652:Empty Sella Syndrome / Q000000981:diagnostic imaging*; D006801:Humans; D007010:Hyponatremia / Q000209:etiology; D007018:Hypopituitarism / Q000209:etiology*; D007037:Hypothyroidism / Q000150:complications / Q000209:etiology; D008297:Male; D008875:Middle Aged; D017590:Myelinolysis, Central Pontine / Q000209:etiology*