Alcoholism, Hyponatraemia and Central Neurological Damage: More than Pontine Myelinolysis?

1992 ◽  
Vol 37 (3) ◽  
pp. 83-84 ◽  
Author(s):  
D.J.A. Adamson ◽  
R.B.S. Laing ◽  
D. Nathwani

Three patients with alcoholism and severe hyponatremia are described. Permanent neurological damage occurred in each case with cerebral, cerebellar or pontine damage from infarction or haemorrhage following correction of the biochemical disturbance. No patient developed Central Pontine Myelinolysis (CPM), the condition usually associated with profound hyponatremia and its correction.

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Tanzib Hossain ◽  
Marya Ghazipura ◽  
Vineet Reddy ◽  
Pedro J. Rivera ◽  
Vikramjit Mukherjee

1991 ◽  
Vol 30 (3) ◽  
pp. 281-284 ◽  
Author(s):  
Hideki WAKUI ◽  
Shigeki NISHIMURA ◽  
Yasuhito WATAHIKI ◽  
Yasuyuki ENDO ◽  
Yasushi NAKAMOTO ◽  
...  

Author(s):  
Anoop AS ◽  
Lakshmiprasad L. Jadhav ◽  
Sruthy Nair ◽  
Rohan Mohandas

A 56 year old male patient was admitted to S.D.M Ayurveda Hospital, Hassan, Karnataka with the confirmed diagnosis of Central Pontine Myelinolysis (CPM) on 11/12/17. The chief complaints were weakness of both hands and legs, stiffness in both hands and legs, pain in both shoulder joints, slurred speech, difficulty in walking with gait changes. H/O chronic alcoholism. MRI brain showed pontine and basal ganglia diffusion restriction - Acute Pontine Myelinolysis. The serum electrolyte showed serum sodium level as 128 mmol/litre. This disease can be understood as Samana Avruta Vyana in hyponatremic encephalopathy stage and the stage of myelinolysis can be understood as Sarvanga Vata with Kapha Avruta Udana and Vyana. After clinical evaluation, Avarana Chikitsa was started followed by Kevala Vatika Chikitsa and significant improvement was seen. Significant result was observed in subjective and objective parameters after the treatment. The patient was discharged with oral medications for 1 month.


2006 ◽  
Vol 28 (3) ◽  
pp. 360-366 ◽  
Author(s):  
Suresh Kumar ◽  
Marjorie Fowler ◽  
Eduardo Gonzalez-Toledo ◽  
S. L. Jaffe

2008 ◽  
Vol 21 (4) ◽  
pp. 390-391 ◽  
Author(s):  
Fuat H. Saner ◽  
Susanne Koeppen ◽  
Marco Meyer ◽  
Matthias Kohnle ◽  
Stefan Herget-Rosenthal ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document