J Korean Neurol Assoc.
2009 Aug;27(3):264-267.
Central Pontine Myelinolysis Presenting With Cerebellar Ataxia
- Affiliations
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- 1Department of Neurology, Collage of Medicine, Chonbuk National University, Jeonju, Korea. ohsun@chonbuk.ac.kr
Abstract
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Central pontine myelinolysis (CPM) is a neurologic disorder that is usually related to rapid correction of hyponatremia and chronic alcoholism. CPM involves concentrated, symmetric, noninflammatory demyelination within the central pons; this pathology also occurs in extrapontine regions. Frequently observed clinical manifestations are sudden weakness, dysphagia, dysarthria, loss of consciousness, and locked-in syndrome. We describe herein a case of CPM predominated by cerebellar signs without typical symptoms, but with involvement of the cerebellum or cerebellar peduncle.