頁籤選單縮合
題 名 | Central Pontine Myelinolysis and Chronic Acquired Hepatocerebral Degeneration: A Case Report |
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作 者 | Wu,Dean; Hu,Chau-jong; Chang,Ying-ming; | 書刊名 | Acta Neurologica Taiwanica |
卷 期 | 7:2 1998.06[民87.06] |
頁 次 | 頁119-126 |
分類號 | 415.534 |
關鍵詞 | Central pontine myelinolysis; CPM; Chronic acquired hepatocerebral degeneration; CAHD; Liver cirrhosis; Alcoholism; |
語 文 | 英文(English) |
英文摘要 | A 36-year-old male was a victim of alcoholic liver cirrhosis. He was admitted for esophageal varices (EV) bleeding. During hospitalization, conscious disturbance with quadriplegia developed after hyponatremia had been rapidly corrected. Under a tentative diagnosis of central pontine myelinolysis CPM), MR images was done and hyperintense lesions in T2WI in the pontine bases were found mainly located in midline, which were consistent with central pontine myelinolysis. Besides, symmetrical hyperintense lesions were also found in the bilateral basal ganglia, head of caudate nucleus, subthalamic nuclei and mesencephalon in both T1 WI and T2WI, typical findings of chronic acquired hepatocerbral degeneration (CAHD). The concurrence of these two disorders had been reported by Shiraki (1968) clinicaly and pathologically, but MR images with concomitant CAHD and CPM have never been reported. We present this rare case and we postulate that MR image might be an important tool in the diagnosis of CAHD and CPM. The possible pathogenesis of these two disorders are aslo briefly reviewed. |
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