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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Ann+Rehabil+Med 2017 ; 41 (1): 148-52 Nephropedia Template TP
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Central Pontine Myelinolysis Induced by Alcohol Withdrawal: A Case Report #MMPMID28289647
Kim JH; Kim SH; Jeong HJ; Sim YJ; Kim DK; Kim GC
Ann Rehabil Med 2017[Feb]; 41 (1): 148-52 PMID28289647show ga
Central pontine myelinolysis (CPM) is a demyelinating disorder characterized by the loss of myelin in the center of the basis pons, and is mainly caused by the rapid correction of hyponatremia. We report the case of a young woman who presented with gait disturbance and alcohol withdrawal, and who was eventually diagnosed with CPM. Generally, the cause and pathogenesis of CPM in chronic alcoholics remain unclear. In this cases, the CPM may be unrelated to hyponatremia or its correction. However, it is possible that the osmotic pressure changes due to refeeding syndrome after alcohol withdrawal was the likely cause in this case. This case illustrates the need for avoiding hasty, and possibly incomplete diagnoses, and performing more intensive test procedures to ensure a correct diagnosis.