Central pontine myelinolysis differential diagnosis: Difference between revisions
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==Differentiating central pontine myelinolysis from other Diseases== | ==Differentiating central pontine myelinolysis from other Diseases== | ||
On the basis central pontine myelinolysis must be differentiated diseases that cause acute [[confusion]], [[lethargy]], [[speech difficulties]] and bilateral [[weakness]] or [[quadriplegia]] such as:<ref name="pmid19938667">{{cite journal| author=Kawabori M, Murata J, Abe S, Saito H| title=[A case of brainstem variant of reversible posterior leukoencephalopathy syndrome]. | journal=No Shinkei Geka | year= 2009 | volume= 37 | issue= 11 | pages= 1105-9 | pmid=19938667 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19938667 }} </ref><ref name="pmid23533856">{{cite journal| author=Osman Y, Imam YZ, Salem K, Al-Hail H, Uthman B, Deleu D| title=Isolated brainstem involvement in a patient with hypertensive encephalopathy. | journal=Case Rep Neurol Med | year= 2013 | volume= 2013 | issue= | pages= 540947 | pmid=23533856 | doi=10.1155/2013/540947 | pmc=3600275 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23533856 }} </ref><ref name="pmid16093630">{{cite journal| author=Uchino A, Sawada A, Takase Y, Kudo S| title=Symmetrical lesions of the middle cerebellar peduncle: MR imaging and differential diagnosis. | journal=Magn Reson Med Sci | year= 2004 | volume= 3 | issue= 3 | pages= 133-40 | pmid=16093630 | doi=10.2463/mrms.3.133 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16093630 }} </ref><ref name="pmid25610237">{{cite journal| author=Uzkeser M, Akoz A, Ozdemir G, Emet M, Bayramoglu A| title=Wide central pontine, bulbar and thalamic myelinolysis with sequela. | journal=Eurasian J Med | year= 2012 | volume= 44 | issue= 3 | pages= 179-81 | pmid=25610237 | doi=10.5152/eajm.2012.42 | pmc=4261386 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25610237 }} </ref> | On the basis central pontine myelinolysis must be differentiated diseases that cause acute [[confusion]], [[lethargy]], [[speech difficulties]] and bilateral [[weakness]] or [[quadriplegia]] such as:<ref name="pmid19938667">{{cite journal| author=Kawabori M, Murata J, Abe S, Saito H| title=[A case of brainstem variant of reversible posterior leukoencephalopathy syndrome]. | journal=No Shinkei Geka | year= 2009 | volume= 37 | issue= 11 | pages= 1105-9 | pmid=19938667 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19938667 }} </ref><ref name="pmid23533856">{{cite journal| author=Osman Y, Imam YZ, Salem K, Al-Hail H, Uthman B, Deleu D| title=Isolated brainstem involvement in a patient with hypertensive encephalopathy. | journal=Case Rep Neurol Med | year= 2013 | volume= 2013 | issue= | pages= 540947 | pmid=23533856 | doi=10.1155/2013/540947 | pmc=3600275 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23533856 }} </ref><ref name="pmid16093630">{{cite journal| author=Uchino A, Sawada A, Takase Y, Kudo S| title=Symmetrical lesions of the middle cerebellar peduncle: MR imaging and differential diagnosis. | journal=Magn Reson Med Sci | year= 2004 | volume= 3 | issue= 3 | pages= 133-40 | pmid=16093630 | doi=10.2463/mrms.3.133 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16093630 }} </ref><ref name="pmid25610237">{{cite journal| author=Uzkeser M, Akoz A, Ozdemir G, Emet M, Bayramoglu A| title=Wide central pontine, bulbar and thalamic myelinolysis with sequela. | journal=Eurasian J Med | year= 2012 | volume= 44 | issue= 3 | pages= 179-81 | pmid=25610237 | doi=10.5152/eajm.2012.42 | pmc=4261386 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25610237 }} </ref><ref name="pmid23482893">{{cite journal| author=Choi JM, Kim YH, Roh SY| title=Acute hepatic encephalopathy presenting as cortical laminar necrosis: case report. | journal=Korean J Radiol | year= 2013 | volume= 14 | issue= 2 | pages= 324-8 | pmid=23482893 | doi=10.3348/kjr.2013.14.2.324 | pmc=3590348 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23482893 }} </ref><ref name="pmid26834941">{{cite journal| author=Quattrocchi CC, Errante Y, Rossi Espagnet MC, Galassi S, Della Sala SW, Bernardi B et al.| title=Magnetic resonance imaging differential diagnosis of brainstem lesions in children. | journal=World J Radiol | year= 2016 | volume= 8 | issue= 1 | pages= 1-20 | pmid=26834941 | doi=10.4329/wjr.v8.i1.1 | pmc=4731345 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26834941 }} </ref> | ||
*[[Posterior leucoencephalopathy syndrome|Posterior leukoencephalopathy syndrome]] | *[[Posterior leucoencephalopathy syndrome|Posterior leukoencephalopathy syndrome]] | ||
Revision as of 14:48, 7 August 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
On the basis central pontine myelinolysis must be differentiated diseases that cause acute confusion, lethargy, speech difficulties and bilateral weakness or quadriplegia such as: Posterior leukoencephalopathy syndrome, infective encephalitis, ischemic Brain stem infarction, thalamus infarction due thrombosis of the basilar artery, diffuse hypoxic encephalopathy, metastasis to the brain and brain tumors such as glioma.
Differentiating central pontine myelinolysis from other Diseases
On the basis central pontine myelinolysis must be differentiated diseases that cause acute confusion, lethargy, speech difficulties and bilateral weakness or quadriplegia such as:[1][2][3][4][5][6]
- Posterior leukoencephalopathy syndrome
- Hypertensive encephalopathy
- Infective encephalitis
- Ischemic Brain stem infarction
- Thalamus infarction due thrombosis of the basilar artery
- Diffuse hypoxic encephalopathy
- Metastasis to the brain
- Brain tumors such as glioma
References
- ↑ Kawabori M, Murata J, Abe S, Saito H (2009). "[A case of brainstem variant of reversible posterior leukoencephalopathy syndrome]". No Shinkei Geka. 37 (11): 1105–9. PMID 19938667.
- ↑ Osman Y, Imam YZ, Salem K, Al-Hail H, Uthman B, Deleu D (2013). "Isolated brainstem involvement in a patient with hypertensive encephalopathy". Case Rep Neurol Med. 2013: 540947. doi:10.1155/2013/540947. PMC 3600275. PMID 23533856.
- ↑ Uchino A, Sawada A, Takase Y, Kudo S (2004). "Symmetrical lesions of the middle cerebellar peduncle: MR imaging and differential diagnosis". Magn Reson Med Sci. 3 (3): 133–40. doi:10.2463/mrms.3.133. PMID 16093630.
- ↑ Uzkeser M, Akoz A, Ozdemir G, Emet M, Bayramoglu A (2012). "Wide central pontine, bulbar and thalamic myelinolysis with sequela". Eurasian J Med. 44 (3): 179–81. doi:10.5152/eajm.2012.42. PMC 4261386. PMID 25610237.
- ↑ Choi JM, Kim YH, Roh SY (2013). "Acute hepatic encephalopathy presenting as cortical laminar necrosis: case report". Korean J Radiol. 14 (2): 324–8. doi:10.3348/kjr.2013.14.2.324. PMC 3590348. PMID 23482893.
- ↑ Quattrocchi CC, Errante Y, Rossi Espagnet MC, Galassi S, Della Sala SW, Bernardi B; et al. (2016). "Magnetic resonance imaging differential diagnosis of brainstem lesions in children". World J Radiol. 8 (1): 1–20. doi:10.4329/wjr.v8.i1.1. PMC 4731345. PMID 26834941.