Central Pontine Myelinolysis (CPM): รายงานผู้ป่วย 1 ราย

ผู้แต่ง

  • Pichan Wutisatirapinyo, M.D. กลุ่มงานอายุรกรรม โรงพยาบาลสมุทรสงคราม

บทคัดย่อ

          Central pontine myeIinoIysis(CPM) is emphasized as an important complication. It has been associated with severe hyponatremie and rapid therapy. The cause and pathogenesis of CPM remain unknown. Typically the clinical symptoms quadriparesis with pseudobulbar pulsies including dysarthria and dysphagia, worsen rapidly 1-3 days alter correction of hyponatremia. Computed tomography (CT) and magnetic resonance imaging (MRl)  may help diagnosis, but CT is often normal. The mortality rate is high.

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เผยแพร่แล้ว

2018-08-24