| Central pontine and extrapontine myelinolysis owing to disequilibrium syndrome. | |
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MedLine Citation:
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PMID: 12760433 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Neurologic disorders can be seen in patients with end-stage renal failure owing to complications of hemodialysis or peritoneal dialysis. The disequilibrium syndrome can be seen, usually soon after or toward the end of dialysis. We report a patient with central pontine and extrapontine myelinolysis owing to disequilibrium syndrome. The patient had depressed consciousness, agitation, tremor, stupor and hyperactive deep tendon reflexes toward the end of the second peritoneal dialysis. A brain computed tomographic (CT) scan showed hypodense lesions in pontine and extrapontine locations without radiocontrast medium enhancement After 2 days, the patient had only minimal memory deficits. A control brain CT scan 1 week later showed a decrease of the lesions in central pontine and extrapontine locations. Central pontine and extrapontine myelinolysis should be suspected and investigated in the acute neurologic disorders of dialysis patients. |
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Authors:
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Omer Faruk Aydin; Ciğdem Uner; Nesrin Senbil; Kenan Bek; Ozlem Erdoğan; Y K Yavuz Gürer |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of child neurology Volume: 18 ISSN: 0883-0738 ISO Abbreviation: J. Child Neurol. Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-05-22 Completed Date: 2003-06-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8606714 Medline TA: J Child Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 292-6 Citation Subset: IM |
Affiliation:
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Department of Pediatric Neurology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey. ofaydin@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Female Humans Kidney Failure / radiography, therapy* Myelinolysis, Central Pontine / etiology*, radiography* Peritoneal Dialysis / adverse effects* Tomography, X-Ray Computed Water-Electrolyte Imbalance / complications*, radiography* |
| Comments/Corrections | |
Comment In:
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J Child Neurol. 2004 Jan;19(1):79-80; author reply 80-1
[PMID:
15032394
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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