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Extrapontine Myelinolysis-Induced Parkinsonism in a Patient with Adrenal Crisis
Joint Authors
Alhail, Hassan
Imam, Yahia Z.
Saqqur, Maher
Deleu, Dirk
Source
Case Reports in Neurological Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-17
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Extrapontine myelinolysis (EPM) has been well described in the presence of rapid correction of hyponatremia.
It is seldom reported with adrenal insufficiency.
We report a unique case where a patient developed EPM as a result of adrenal insufficiency where the brain MRI revealed symmetrical lesion in the basal ganglia with pallidal sparing.
Case Report.
A 30-year-old gentleman with panhypopituitarism developed adrenal crisis, hyponatremia, and hyponatremic encephalopathy.
Seven days after the rapid correction of hyponatremia, he developed parkinsonism and neuropsychiatric symptoms.
MRI showed extrapontine myelinolysis without central pontine myelinolysis.
Conclusion.
Extrapontine myelinolysis without central pontine myelinolysis is rare and should raise a concern of associated adrenal insufficiency in the right clinical setting.
Rapid correction of hyponatremia particularly in steroid-deficient states should be avoided as it can predispose to extrapontine myelinolysis.
Magnetic resonance imaging is very helpful in supporting the diagnosis of EPM.
American Psychological Association (APA)
Imam, Yahia Z.& Saqqur, Maher& Alhail, Hassan& Deleu, Dirk. 2012. Extrapontine Myelinolysis-Induced Parkinsonism in a Patient with Adrenal Crisis. Case Reports in Neurological Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-463787
Modern Language Association (MLA)
Imam, Yahia Z.…[et al.]. Extrapontine Myelinolysis-Induced Parkinsonism in a Patient with Adrenal Crisis. Case Reports in Neurological Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-463787
American Medical Association (AMA)
Imam, Yahia Z.& Saqqur, Maher& Alhail, Hassan& Deleu, Dirk. Extrapontine Myelinolysis-Induced Parkinsonism in a Patient with Adrenal Crisis. Case Reports in Neurological Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-463787
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-463787