Asymptomatic pontine myelinolysis

Razvi, S. S. M. and Leach, J. P. (2006) Asymptomatic pontine myelinolysis. European Journal of Neurology, 13(11), pp. 1261-1263. (doi: 10.1111/j.1468-1331.2006.01456.x) (PMID:17038043)

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A 43-year-old lady presented with bilateral foot drop due to alcohol-related peripheral neuropathy. There was no history of electrolyte disturbance or altered consciousness. Cranial nerve, bulbar and pyramidal symptoms and signs were absent. Nerve conduction studies confirmed the neuropathy. Inadvertently requested neuroimaging of brain demonstrated signal change typical of central pontine myelinolysis. Asymptomatic pontine myelinolysis occurs rarely in alcoholics in the absence of bulbar dysfunction. It is important for physicians to be aware of the clinical entity of asymptomatic pontine myelinolysis to avoid misinterpretation of abnormalities detected on cerebral imaging in alcoholic individuals.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Leach, Dr John Paul and Razvi, Dr Saif
Authors: Razvi, S. S. M., and Leach, J. P.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Medical Veterinary and Life Sciences > School of Psychology & Neuroscience
Journal Name:European Journal of Neurology
ISSN (Online):1468-1331
Published Online:13 October 2006

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