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KMID : 0359719920100030375
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Journal of the Korean Neurological Association
1992 Volume.10 No. 3 p.375 ~ p.381
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A Case of Extrapontine Myelinolysis Without Central Pontine Myelinolysis Following Hyponatremia
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조경원
나정균/정원영/조기현/김세종
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Abstract
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Central pontine myelinolysis (CPM0 is characterized by regions of demyelination throughout the brain but most prominent in the pons. The symptoms of CPM include rapidly evolving quadriplegia, pseudobulbar palsy and varying degree of altered
consciousness. The exact pathogenesis is unknown.
We report a rare case of extrapontine myelinolysis (EPM) without CPM;A 49-year-old man with chronic alcoholism and chronic type B hepatitis were presented with clinical symptoms of rapidly progressive quadriplegia and pseudobulbar palsy preceded
by
hyponatremia. Magnetic resonance imaging in this patient showed bilateral increased T2 weighted signals in the caudate nucleus and the putamen.
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KEYWORD
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