A case of central pontine myelinolysis confirmed by computed tomography
Wylie, E.J.; Chakera, T.M.
Australasian Radiology 30(4): 304-306
1986
ISSN/ISBN: 0004-8461 PMID: 3579768 Document Number: 282703
The case we present is of a previously well deaf lady who, following the treatment of hyponatraemia due to gastro-enteritis developed quadriparesis, hyper-reflexia and bilateral extensor plantar responses. Although the patient is not known to be alcoholic, her clinical presentation and C.T. scan are characteristic of central pontine myelinolysis. The clinical diagnosis of central pontine myelinolysis is important because affected patients may make remarkable recovery if vigorously supported. Computed tomography has been shown to be an invaluable adjunct to the antemortem diagnosis of this condition. Repeated C.T. examination may demonstrate some resolution of the radiographic findings many months subsequent to clinical improvement (Gerber et al 1983).