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- Title
Central pontine myelinolysis in a case of alcohol dependence syndrome.
- Authors
Chatterjee, Kaushik; Fernandes, Austin B.; Goyal, Sunil; Shanker, Sunitha
- Abstract
Osmotic Demyelination Syndrome includes Central Pontine Myelinolysis and Extrapontine Myelinolysis. This condition has been described in cases of chronic Alcohol Dependence Syndrome and in rapid correction of hyponatremia. Though we frequently see patients with Alcohol Dependence Syndrome presenting with complicated withdrawal, Central Pontine Myelinolysis remains largely undetected and under-reported in literature. We present here a case of protracted Delirium Tremens where MRI brain revealed Central Pontine Myelinolysis. Subsequently cognitive assessment revealed significant dysfunction and brain SPECT showed hypo-perfusion of the frontal lobes. Osmotic Demyelination Syndrome should be suspected in protracted Delirium Tremens.
- Subjects
DISEASES in people with alcoholism; DEMYELINATION; ALCOHOLISM; SYNDROMES; DELIRIUM
- Publication
Industrial Psychiatry Journal, 2015, Vol 24, Issue 2, p198
- ISSN
0972-6748
- Publication type
Case Study
- DOI
10.4103/0972-6748.181732