Document Detail


Ocular motor and imaging abnormalities of midbrain dysfunction in osmotic demyelination syndrome.
MedLine Citation:
PMID:  19952903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
After rapid correction of severe hyponatremia, a 36-year-old man developed osmotic demyelination syndrome (ODS), manifested neurologically by impaired cognition, extremity weakness, bilateral third cranial nerve palsies, and gaze-evoked upbeat and rotary nystagmus. Brain MRI showed restricted diffusion in the rostral midbrain and temporal and parietal lobes but not in the pons. Over several weeks, all neurologic and imaging deficits resolved. This is the first report to document ocular motor abnormalities associated with midbrain dysfunction in ODS.
Authors:
Kristen M Hawthorne; Christopher J Compton; Michael S Vaphiades; Glenn H Roberson; Lanning B Kline
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  29     ISSN:  1536-5166     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-02     Completed Date:  2010-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  296-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, Alabama, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blepharoptosis / complications,  physiopathology
Cognition Disorders / complications,  physiopathology
Electrolytes / adverse effects
Humans
Hyponatremia / complications,  drug therapy
Magnetic Resonance Imaging
Male
Mesencephalon / physiopathology*
Myelinolysis, Central Pontine / chemically induced,  complications,  physiopathology*
Ocular Motility Disorders / complications*,  physiopathology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Electrolytes

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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