WebNov 6, 2024 · Osmotic demyelination syndrome is divided into two categories depending on the affected area: central pontine myelinolysis (CPM) and extrapontine myelinolysis (EPM). CPM and EPM can exist separately or coexist. ... During the stay in the general ward, sodium supplementation with 3% hypertonic saline and water restriction were … WebAs the body increases in sodium, it pulls the water out of neurons, dehydrating them, and causing demyelination. also causes astrocytic cell death. Presentation. Symptoms/physical exam. can lead to a range of symptoms. asymptomatic. seizures. loss of conciousness. dysarthria and dysphagia.
A Case of Central Pontine Myelinolysis - IMCRJ IMCRJ - Dove …
WebKilinç et al. described an episode of pontine myelinolysis with normal serum sodium in a 34-year-old male patient on chronic renal dialysis . Additionally, Varanda et al. reported a case of pontine myelinolysis caused by multifactorial hypernatremia in a female patient with liver cirrhosis who was a regular alcohol drinker, which is in ... WebCentral pontine myelinolysis (CPM) is a neurological disorder that most frequently occurs after too rapid medical correction of sodium deficiency (hyponatremia). … tacos in hyattsville
Plasma exchange successfully treats central pontine myelinolysis …
WebOn the other side of the coin, if a patient’s low serum sodium level is corrected too quickly, that too can cause a brain injury called central pontine myelinolysis (CPM). Doctors and nurses can avoid causing CPM in their patients by following the standard of care, which requires gradual correction of sodium levels by appropriate IV fluids. WebNov 30, 2024 · Central pontine myelinolysis (CPM) develops due to acute hypernatremia from a normal baseline serum sodium in the setting of electrolyte abnormalities induced by topiramate use. Topiramate is a commonly used medication with several indications including migraines, myoclonic jerks and seizures. It ha … WebPontine Neoplasm or Myelinolysis Despite Normal Sodium Levels An elderly woman was transferred for biopsy of a pontine lesion. Her condition, including gait disturbances, … tacos in huntington