Preoperative Extrapontine Myelinolysis with Good Outcome in a Patient with Pituitary Adenoma
Journal of Korean Neurosurgical Society
; : 161-164, 2016.
Article
de En
| WPRIM
| ID: wpr-95380
Bibliothèque responsable:
WPRO
ABSTRACT
Few preoperative extrapontine myelinolysis (EPM) cases with pituitary adenoma have been reported. No such case had long follow-up to see the outcome of EPM. We reported a 38-year-old man complaining of nausea, malaise and transient loss of consciousness who was found to have severe hyponatremia. Neurologic deficits including altered mental status, behavioral disturbances, dysarthria and dysphagia developed despite slow correction of hyponatremia. Endocrine and imaging studies revealed hypopituitarism, nonfunctional pituitary macroadenoma and extrapontine myelinolysis. Transsphenoidal surgery was performed after three weeks of supportive therapy, when neurological symptoms improved significantly. The patient recovered function completely 3 months after surgery. Our case indicates that outcome of EPM can be good even with prolonged periods of severe neurologic impairment.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Tumeurs de l'hypophyse
/
Perte de conscience
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Troubles de la déglutition
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Études de suivi
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Myélinolyse centropontine
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Dysarthrie
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Hyponatrémie
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Hypopituitarisme
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Nausée
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Manifestations neurologiques
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Adult
/
Humans
langue:
En
Texte intégral:
Journal of Korean Neurosurgical Society
Année:
2016
Type:
Article