Central pontine myelinolysis in a chronic alcoholic: A clinical and brain magnetic resonance imaging follow-up
Introduction. Central pontine myelinolysis (CPM) is a noninflammatory, demyelinating lesion usually localised in the basis pontis. Chronic alcoholism is frequently associated with this condition which may have a variable clinical outcome. Until now, brain magnetic resonance imaging (MRI) follow-...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2013-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501308785D.pdf |
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| author | Dujmović Irena Vitas Jelena Zlatarić Nataša Drulović Jelena |
| author_facet | Dujmović Irena Vitas Jelena Zlatarić Nataša Drulović Jelena |
| author_sort | Dujmović Irena |
| collection | DOAJ |
| description | Introduction. Central pontine myelinolysis (CPM) is a noninflammatory, demyelinating lesion usually localised in the basis pontis. Chronic alcoholism is frequently associated with this condition which may have a variable clinical outcome. Until now, brain magnetic resonance imaging (MRI) follow-up in alcoholic CPM cases after alcohol withdrawal has been rarely described. Case report. We reported a 30- year-old male with a 12-year history of alcohol abuse, who presented with inability to stand and walk, nausea, vomiting and somnolence. Neurological examination revealed: impared fixation on lateral gaze, dysarthria, mild spastic quadriparesis, truncal and extremity ataxia, sock-like hypesthesia and moderate decrease in vibration sense in legs. Brain MRI showed a trident-shaped non-enhancing pontine lesion highly suggestive of CPM. After an eight-month alcoholfree follow-up period, the patient’s clinical status significantly improved, while the extent of MRI pontine lesion was merely slightly reduced. Conclusion. The presented case demonstrates that CPM in chronic alcoholics may have a benign clinical course after alcohol withdrawal, which is not necessarily associated with the reduction of lesions on brain MRI. [Projekat Ministarstva nauke Republike Srbije, br. 175031] |
| format | Article |
| id | doaj-art-294785636ca94dfb8e467e12a03ee2ed |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-294785636ca94dfb8e467e12a03ee2ed2025-08-20T03:54:47ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502013-01-0170878578810.2298/VSP1308785DCentral pontine myelinolysis in a chronic alcoholic: A clinical and brain magnetic resonance imaging follow-upDujmović IrenaVitas JelenaZlatarić NatašaDrulović JelenaIntroduction. Central pontine myelinolysis (CPM) is a noninflammatory, demyelinating lesion usually localised in the basis pontis. Chronic alcoholism is frequently associated with this condition which may have a variable clinical outcome. Until now, brain magnetic resonance imaging (MRI) follow-up in alcoholic CPM cases after alcohol withdrawal has been rarely described. Case report. We reported a 30- year-old male with a 12-year history of alcohol abuse, who presented with inability to stand and walk, nausea, vomiting and somnolence. Neurological examination revealed: impared fixation on lateral gaze, dysarthria, mild spastic quadriparesis, truncal and extremity ataxia, sock-like hypesthesia and moderate decrease in vibration sense in legs. Brain MRI showed a trident-shaped non-enhancing pontine lesion highly suggestive of CPM. After an eight-month alcoholfree follow-up period, the patient’s clinical status significantly improved, while the extent of MRI pontine lesion was merely slightly reduced. Conclusion. The presented case demonstrates that CPM in chronic alcoholics may have a benign clinical course after alcohol withdrawal, which is not necessarily associated with the reduction of lesions on brain MRI. [Projekat Ministarstva nauke Republike Srbije, br. 175031]http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501308785D.pdfdemyelinating diseasesponsdiagnosismagnetic resonance imagingalcoholismtreatment outcome |
| spellingShingle | Dujmović Irena Vitas Jelena Zlatarić Nataša Drulović Jelena Central pontine myelinolysis in a chronic alcoholic: A clinical and brain magnetic resonance imaging follow-up Vojnosanitetski Pregled demyelinating diseases pons diagnosis magnetic resonance imaging alcoholism treatment outcome |
| title | Central pontine myelinolysis in a chronic alcoholic: A clinical and brain magnetic resonance imaging follow-up |
| title_full | Central pontine myelinolysis in a chronic alcoholic: A clinical and brain magnetic resonance imaging follow-up |
| title_fullStr | Central pontine myelinolysis in a chronic alcoholic: A clinical and brain magnetic resonance imaging follow-up |
| title_full_unstemmed | Central pontine myelinolysis in a chronic alcoholic: A clinical and brain magnetic resonance imaging follow-up |
| title_short | Central pontine myelinolysis in a chronic alcoholic: A clinical and brain magnetic resonance imaging follow-up |
| title_sort | central pontine myelinolysis in a chronic alcoholic a clinical and brain magnetic resonance imaging follow up |
| topic | demyelinating diseases pons diagnosis magnetic resonance imaging alcoholism treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501308785D.pdf |
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