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Neuroradiology

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01.12.2003 | Diagnostic Neuroradiology

Magnetic resonance imaging of sequelae of central pontine myelinolysis in chronic alcohol abusers

verfasst von: Akira Uchino, Takefumi Yuzuriha, Masaru Murakami, Koichi Endoh, Shigeto Hiejima, Hiroshi Koga, Sho Kudo

Erschienen in: Neuroradiology | Ausgabe 12/2003

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Abstract

Central pontine myelinolysis (CPM) is one of the serious neurological complications of alcoholism. This study evaluated magnetic resonance images of sequelae of CPM. Approximately 600 alcoholic patients were examined by a 1.0-T magnetic resonance imaging device, and 11 patients were retrospectively found to have a central pontine lesion, a presumed sequela of CPM. The lesions had various shapes and most were cavitary. In 3 of the 11 patients bilateral symmetrical oval lesions were faintly visible in the middle cerebellar peduncles. These middle cerebellar peduncular lesions were diagnosed as having Wallerian degeneration of the pontocerebellar tract secondary to CPM.

Adams RD, Victor M, Mancall EL (1959) Central pontine myelinolysis. A hitherto undescribed disease occurring in alcoholic and malnourished patients. Arch Neurol Psychiatry 81:154–172

Miller GM, Baker HL Jr, Okazaki H, Whisnant JP (1988) Central pontine myelinolysis and its imitators: MR findings. Radiology 168:795–802PubMed

Gocht A, Colmant HJ (1987) Central pontine and extrapontine myelinolysis: a report of 58 cases. Clin Neuropathol 6:262–270PubMed

Koci TM, Chiang F, Chow P, Wang A, Chiu LC, Itabashi H, Mehringer CM (1990) Thalamic extrapontine lesions in central pontine myelinolysis. Am J Neuroradiol 11:1229–1233PubMed

Bourgouin PM, Chalk C, Richardson J, Duang H, Vezina JL (1995) Subcortical white matter lesions in osmotic demyelination syndrome. Am J Neuroradiol 16:1495–1497PubMed

Mangat KS, Sherlala K (2002) Cerebellar peduncle myelinolysis: case report. Neuroradiology 44:768–769CrossRefPubMed

Ohuchi T, Kuru Y, Ri K, Hayashi T, Yasuda R, Honda S, Maki S (1998) Wallerian degeneration of the pontocerebellar tracts and cerebellar atrophy following pontine bleeding. Rinsho Hoshasen 43:449–455

Gallucci M, Amicarelli I, Rossi A, Stratta P, Masciocchi C, Zobel BB, Casacchia M, Passariello R (1989) MR imaging of white matter lesions in uncomplicated chronic alcoholism. J Comput Assist Tomogr 13:395–398PubMed

Ho VB, Fitz CR, Yoder CC, Geyer CA (1993) Resolving MR features in osmotic myelinolysis (central pontine and extrapontine myelinolysis). Am J Neuroradiol 14:163–167PubMed

10.

Korogi Y, Takahashi M, Shinzato J, Sakamoto Y, Mitsuzaki K, Hirai T, Yoshizumi K (1993) MR findings in two presumed cases of mild central pontine myelinolysis. Am J Neuroradiol 14:651–654PubMed

11.

Yuh WTC, Simonson TM, D'Alessandro MP, Smith KS, Hunsicker LG (1995) Temporal changes of MR findings in central pontine myelinolysis. Am J Neuroradiol 16:975–977PubMed

12.

McGraw P, Edwards-Brown MK (1998) Reversal of MR findings of central pontine myelinolysis. J Comput Assist Tomogr 22:989–991CrossRefPubMed

13.

Niehaus L, Kulozik A, Lehmann R (2001) Reversible central pontine and extrapontine myelinolysis in a 16-year-old girl. Childs Nerv Syst 17:294–296PubMed

14.

Chu K, Kang DW, Ko SB, Kim M (2001) Diffusion-weighted MR findings of central pontine and extrapontine myelinolysis. Acta Neurol Scand 104:385–388CrossRefPubMed

15.

Laubenberger J, Schneider B, Ansorge O, Goetz F, Haussinger D, Volk B, Langer M (1996) Central pontine myelinolysis: clinical presentation and radiologic findings. Eur Radiol 6:177–183PubMed

16.

Menger H, Jorg J (1999) Outcome of central pontine and extrapontine myelinolysis (n=44). J Neurol 246:700–705PubMed

17.

Norenberg MD (1983) A hypothesis of osmotic endothelial injury. A pathogenetic mechanism in central pontine myelinolysis. Arch Neurol 40:66–69PubMed

18.

Lien YH, Shapiro JI, Chan L (1991) Study of brain electrolytes and organic osmolytes during correction of chronic hyponatremia. Implications for the pathogenesis of central pontine myelinolysis. J Clin Invest 88:303–309PubMed

Titel: Magnetic resonance imaging of sequelae of central pontine myelinolysis in chronic alcohol abusers
verfasst von: Akira Uchino
Takefumi Yuzuriha
Masaru Murakami
Koichi Endoh
Shigeto Hiejima
Hiroshi Koga
Sho Kudo
Publikationsdatum: 01.12.2003
Verlag: Springer-Verlag
Erschienen in: Neuroradiology / Ausgabe 12/2003
Print ISSN: 0028-3940
Elektronische ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-003-1095-9

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Magnetic resonance imaging of sequelae of central pontine myelinolysis in chronic alcohol abusers

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