만성 알코올중독자에서 알코올금단 중 발현한 소뇌형 중심교뇌수초용해증
- Alternative Title
- Ataxic Form of Central Pontine Myelinolysis Developed during Alcohol Withdrawal in a Chronic Alcoholic
- Abstract
- Central pontine myelinolysis (CPM) is well-recognized osmotic demyelination syndrome that is related to various conditions such as rapid correction of hyponatremia and chronic alcoholism. Acute ataxia as a sole clinical sign in CPM is rare. We report a case of a 59-year-old man with dysarthria, intention tremor, and a significant gait ataxia starting after alcohol withdrawal, with radiological evidence of CPM. CPM should be included in the differential diagnosis of alcoholic patients who develop a sudden ataxia. Chronic alcohol abuse is one of the most commonly encountered predisposing factors. Alcohol withdrawal represents an additional vulnerability factor, being responsible for electrolyte imbalances which are not always demonstrable but are certainly involved in the development of CPM.
- All Author(s)
- D. s. Shin
; D. Jeong
; K. I. Yang
; H. K. Park
; H. G. Oh
- Issued Date
- 2016
- Type
- Article
- Keyword
- Ataxia; Central pontine myelinolysis; Alcoholics
- Publisher
- Soonchunhyang Medical Research Institute
- ISSN
- 2233-4289
; 2233-4297
- Citation Title
- Soonchunhyang Medical Science
- Citation Volume
- 22
- Citation Number
- 2
- Citation Start Page
- 218
- Citation End Page
- 221
- Language(ISO)
- kor
- DOI
- 10.15746/sms.16.053
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2179
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