A Clinicoradiographic Correlation of Bilateral Horizontal Gaze Palsy and Slowed Vertical Saccades With Midline Dorsal Pontine Lesion on Magnetic Resonance Imaging

1986 ◽  
Vol 101 (1) ◽  
pp. 118-120 ◽  
Author(s):  
Michael L. Slavin
1995 ◽  
Vol 209 (4) ◽  
pp. 225-227 ◽  
Author(s):  
Nusret Özdemir ◽  
Sebahattin Haciyakupoğlu ◽  
Reha Ersöz ◽  
Gülhamm Haciyakupoğlu ◽  
Mahmut Oğuz

1993 ◽  
Vol 48 (6) ◽  
pp. 818-822 ◽  
Author(s):  
Andreas W. Kampfl ◽  
Erich Schmutzhard ◽  
Guenther G. Birbamer ◽  
Bettina E. Pfausler ◽  
Hans P. Haring

2013 ◽  
Vol 70 (8) ◽  
pp. 785-788 ◽  
Author(s):  
Irena Dujmovic ◽  
Jelena Vitas ◽  
Natasa Zlataric ◽  
Jelena Drulovic

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.


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