Korean J Nephrol.
2005 Mar;24(2):300-304.
A Case of Asymptomatic Central Pontine Myelinolysis after Severe Hypoglycemia in a Patient with Diabetic Nephropathy
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- 2Department of Neurology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Central pontine myelinolysis (CPM)is a demyelinating disorder that affects pons and is characterized by disturbance of consciousness, quadriparesis, and mutism and has been considered to have poor prognosis. It commonly occurs in patients with rapidly corrected hyponatremia. However, hypoglycemia induced CPM has been rarely reported. Diagnosis is confirmed by MR imaging. Here we report a case of CPM after severe hypoglycemia without any electrolyte disturbance in a patients with diabetic nephropathy.
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