A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital

Background: Central pontine myelinolysis (CPM)is unique and rare clinical entity. It could be a neurological complication of prolonged hyponatraemia. Many predisposing risk factors (chronic alcoholism, malnutrition, malignancy) may aggravate the development of CPM. CPM usually have a poor or even fa...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Azhar Al-Shaibany, Shah Shabahat, Moiz Shahid
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	hyponatremia central pontine myelinolysis alcoholism malnutrition Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7f9c5e757cb64d9db0b7aad83beaf19d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7f9c5e757cb64d9db0b7aad83beaf19d
record_format	dspace
spelling	oai:doaj.org-article:7f9c5e757cb64d9db0b7aad83beaf19d2021-12-02T17:15:19ZA Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital2636-41742682-378010.21608/ijma.2021.63169.1268https://doaj.org/article/7f9c5e757cb64d9db0b7aad83beaf19d2021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_163660_d3f924bb5b1fed2cf41eec7195081ed6.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Central pontine myelinolysis (CPM)is unique and rare clinical entity. It could be a neurological complication of prolonged hyponatraemia. Many predisposing risk factors (chronic alcoholism, malnutrition, malignancy) may aggravate the development of CPM. CPM usually have a poor or even fatal outcome. However, CPM does not inevitably have a bad prognosis, and could occur with proper restoration of normal serum sodium concentrations. Case Summary: Here, we presented a case of a 48-year-oldfemale. She used to drink alcohol. She presented to Our Lady’s Hospital/Navan with a history of four days feeling unwell, confused diarrhea, vomiting and by investigations, she had severe hyponatraemia. She was managed optimally in the ICU with close monitoring of her urea and electrolytes. Unfortunately, she got progressive neurological deficits (lower limbs weakness, and slurred speech) irrespective of gentle treatment of hyponatremia in intensive care unit. After Neurological and radiological input from Dublin institute, CPM confirmed under background of alcoholism and malnutrition. Following the diagnosis of CPM, she was discharged home after been rehabilitated with physiotherapy with ongoing recovery.Azhar Al-ShaibanyShah ShabahatMoiz ShahidAl-Azhar University, Faculty of Medicine (Damietta)articlehyponatremiacentral pontine myelinolysisalcoholismmalnutritionMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1316-1321 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hyponatremia central pontine myelinolysis alcoholism malnutrition Medicine (General) R5-920
spellingShingle	hyponatremia central pontine myelinolysis alcoholism malnutrition Medicine (General) R5-920 Azhar Al-Shaibany Shah Shabahat Moiz Shahid A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital
description	Background: Central pontine myelinolysis (CPM)is unique and rare clinical entity. It could be a neurological complication of prolonged hyponatraemia. Many predisposing risk factors (chronic alcoholism, malnutrition, malignancy) may aggravate the development of CPM. CPM usually have a poor or even fatal outcome. However, CPM does not inevitably have a bad prognosis, and could occur with proper restoration of normal serum sodium concentrations. Case Summary: Here, we presented a case of a 48-year-oldfemale. She used to drink alcohol. She presented to Our Lady’s Hospital/Navan with a history of four days feeling unwell, confused diarrhea, vomiting and by investigations, she had severe hyponatraemia. She was managed optimally in the ICU with close monitoring of her urea and electrolytes. Unfortunately, she got progressive neurological deficits (lower limbs weakness, and slurred speech) irrespective of gentle treatment of hyponatremia in intensive care unit. After Neurological and radiological input from Dublin institute, CPM confirmed under background of alcoholism and malnutrition. Following the diagnosis of CPM, she was discharged home after been rehabilitated with physiotherapy with ongoing recovery.
format	article
author	Azhar Al-Shaibany Shah Shabahat Moiz Shahid
author_facet	Azhar Al-Shaibany Shah Shabahat Moiz Shahid
author_sort	Azhar Al-Shaibany
title	A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital
title_short	A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital
title_full	A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital
title_fullStr	A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital
title_full_unstemmed	A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital
title_sort	case of central pontine myelinolysis due to severe acute prolonged hyponatremia in our county hospital
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/7f9c5e757cb64d9db0b7aad83beaf19d
work_keys_str_mv	AT azharalshaibany acaseofcentralpontinemyelinolysisduetosevereacuteprolongedhyponatremiainourcountyhospital AT shahshabahat acaseofcentralpontinemyelinolysisduetosevereacuteprolongedhyponatremiainourcountyhospital AT moizshahid acaseofcentralpontinemyelinolysisduetosevereacuteprolongedhyponatremiainourcountyhospital AT azharalshaibany caseofcentralpontinemyelinolysisduetosevereacuteprolongedhyponatremiainourcountyhospital AT shahshabahat caseofcentralpontinemyelinolysisduetosevereacuteprolongedhyponatremiainourcountyhospital AT moizshahid caseofcentralpontinemyelinolysisduetosevereacuteprolongedhyponatremiainourcountyhospital
_version_	1718381267672629248

A Case of Central Pontine Myelinolysis due to Severe Acute Prolonged Hyponatremia in Our County Hospital

Ejemplares similares