[Abnormal movements in a case of extrapontine myelinolysis. Review of the literature].

Abstract:

INTRODUCTION AND CLINICAL CASE:We present a case of extra-pontine myelinolysis caused by acute hypernatraemia in which a complex picture of late onset extrapyramdial features, choreodystonia and parkinsonism developed. Repeated physical examinations, neurophysiological and neuroimaging studies using magnetic resonance all indicated an extra-pontine site of the lesions, which symmetrically affected the striate and to a lesser extent both thalami. We review the relevant literature available and analyze the cases described as having abnormal movements associated with a myelinolytic syndrome. CONCLUSIONS:Extra-pontine myelinolysis is a cause of acquired dystonia, chorea and parkinsonism, generally of late onset and with varying response to treatment. The association of hypernatraemia, hyperglycaemia and liver transplant seem to predispose to the development of extra-pontine lesions.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Ezpeleta D,de Andrés C,Giménez-Roldán S

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

215-20

issue

150

eissn

0210-0010

issn

1576-6578

journal_volume

26

pub_type

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