Central pontine myelinolysis history and symptoms: Difference between revisions

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{{CMG}}; {{AE}} {{MMJ}}  
{{CMG}}; {{AE}} {{MMJ}}  
==Overview==
==Overview==
<br />
<br />spastic quadriparesis, dysarthria, pseudobulbar palsy, and altered mental status. In some patients, parkinsonian features, behavioral manifestations, and neuropsychological symptoms can also be present
 
 
behavioral manifestations (personality changes, labile affect, disinhibition, poor judgment, paranoid delusions, emotional lability, delirium, hallucinations, and catatonia)


==History and Symptoms==
==History and Symptoms==
*The majority of patients with [disease name] are asymptomatic.
OR
*The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
===History===
===History===
Patients with [disease name]] may have a positive history of:
Patients with central pontine myelinolysis may have a positive history of:
*[History finding 1]
*[[Malnutrition]]
*[History finding 2]
*[[Alcohol abuse|Alcohol use disorder]]
*[History finding 3]
*[[Chronic liver disease]]
*[[Hyperemesis gravidarum]]
 
These patients with central pontine myelinolysis most commonly have a history of rapid [[sodium]] correction, greater than 0.5-1.0 mEq/L per hour.
 
The most susceptible patients are those with:
 
*Chronic [[hyponatremia]] (>48 hours)
 
*Severe [[hyponatremia]] (Na <120 mEq/L)
*Both Chronic [[hyponatremia]] and severe [[hyponatremia]]


===Common Symptoms===
===Common Symptoms===

Revision as of 00:15, 28 December 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview


spastic quadriparesis, dysarthria, pseudobulbar palsy, and altered mental status. In some patients, parkinsonian features, behavioral manifestations, and neuropsychological symptoms can also be present


behavioral manifestations (personality changes, labile affect, disinhibition, poor judgment, paranoid delusions, emotional lability, delirium, hallucinations, and catatonia)

History and Symptoms

History

Patients with central pontine myelinolysis may have a positive history of:

These patients with central pontine myelinolysis most commonly have a history of rapid sodium correction, greater than 0.5-1.0 mEq/L per hour.

The most susceptible patients are those with:

Common Symptoms

Common symptoms of [disease] include:

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]

Less Common Symptoms

Less common symptoms of [disease name] include

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]

References

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