Association of central pontin myelinolysis and extra-pontin myelinolysis in diabetic patient.

  Vol. 28 (3) 2007 Neuro endocrinology letters Case Reports   2007; 28(3): 252-254 PubMed PMID:  17627257    Citation  Keywords:  Diabetes Mellitus, Type 2:complications, Humans, Male, Middle Aged, Myelinolysis, Central Pontine:etiology,.   

: Central pontin myelinolysis and extra-pontin myelinolysis (CPM/EPM) implies the clinical picture after rapid recovery of hyponatremia or hyponatremia alone. SPM/EPM picture can occur without hyponatremia. Findings such as dysarthria, dysphagia, tetraparesia/plegy accompanies the clinical table. Our case was also diabetic, but there were no electrolyte imbalance in admission. The presence of diarrhea in medical history of the patient might indicate a short-term undetected electrolyte imbalance. In our diabetic case that has borderline metabolic status and lack of any detected electrolyte imbalance, we decided to present SPM/EPM table together with literature information.

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