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KMID : 0857020100250010027
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Kosin Medical Journal
2010 Volume.25 No. 1 p.27 ~ p.30
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Central Pontine Myelinolysis Presenting as Pathological Crying
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Kim Kwang-Soo
Kim Min-Jeong
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Abstract
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Central pontine myelinolysis is a syndrome of a rapidly evolving flaccid quadriplegia, weakness of the face and tongue,
and inability to speak and swallow associated with a distinctive neuropathological finding in the central basis pontis.
Pathological crying is a clinical condition characterized by relatively uncontrollable exaggerated outbursts of crying
without commensurate feelings. It occurs in patients with various neurological disorders. A 56 year-old chronic alcoholic
man complained general weakness, dysarthria and dysphagia occurred after abstinence from alcohol. He frequently cried
spasmodically. Brain MRI showed hyperintense lesions on T2-weighted, and hypointense lesions on T1-weighted images
in the central pons. Pathological crying may be correlated with a lesion involving the basis pontis.
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KEYWORD
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Pathological crying, Central pontine myelinolysis, Chronic alcoholism
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