Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3275029 | Médecine des Maladies Métaboliques | 2013 | 4 Pages |
Abstract
A 56 year-old patient was hospitalized for hemiparesis associated with aphasia in a major hyperglycemic disequilibrium without other electrolyte disorders. The diagnosis of central pontine myelinolysis was retained after analysis of the magnetic resonance imaging finding typical pontine lesions. His symptoms regressed within a few days after correction of hyperglycemia. This rare diagnosis with uncertain pathophysiology has not to be ignored and must be differentiated from stroke. It is associated with a huge hyperosmolarity and must be corrected in a prudent manner.
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Authors
A.-L. Coulon, O. Detante, S. Halimi,