Korean J Neurotrauma.  2014 Apr;10(1):31-34. 10.13004/kjnt.2014.10.1.31.

Central Pontine and Extrapontine Myelinolysis in a Patient with Traumatic Brain Injury Following Not Rapid Correction of Hyponatremia: A Case Report

• Baek TH
• Yang SH
• Sung JH
• Lee SW

• KMID: 2156095
• DOI: http://doi.org/10.13004/kjnt.2014.10.1.31

Abstract

Central pontine myelinolysis occurs inconsistently as a complication of severe and prolonged hyponatremia, particularly when corrected too rapidly. This condition is a concentrated, frequently symmetric, noninflammatory demyelination within the central basis pontis. We describe a head injury patient who developed central pontine and extrapontine myelinolysis following a gradual correction of hyponatremia. More attention should be paid to correcting hyponatremia combined with hypokalemia in patients who have a history of alcoholism.

Keyword

Central pontine myelinolysis; Hyponatremia; Head injury; Hypokalemia

MeSH Terms

Alcoholism
Brain Injuries*
Craniocerebral Trauma
Demyelinating Diseases
Humans
Hypokalemia
Hyponatremia*
Myelinolysis, Central Pontine*