지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 161 - 164 (4page)
이용수
초록· 키워드
오류제보하기
Few preoperative extrapontine myelinolysis (EPM) cases with pituitary adenoma have been reported. No such case had long follow-up to see the outcome of EPM. We reported a 38-year-old man complaining of nausea, malaise and transient loss of consciousness who was found to have severe hyponatremia. Neurologic deficits including altered mental status, behavioral disturbances, dysarthria and dysphagia developed despite slow correction of hyponatremia. Endocrine and imaging studies revealed hypopituitarism, nonfunctional pituitary macroadenoma and extrapontine myelinolysis. Transsphenoidal surgery was performed after three weeks of supportive therapy, when neurological symptoms improved significantly. The patient recovered function completely 3 months after surgery. Our case indicates that outcome of EPM can be good even with prolonged periods of severe neurologic impairment.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Diederich S / 2003 / Severe hyponatremia due to hypopituitarism with adrenal insufficiency : report on 28 cases / Eur J Endocrinol 148:609~617
Gankam Kengne F / 2009 / Re-induction of hyponatremia after rapid overcorrection of hyponatremia reduces mortality in rats / Kidney Int 76:614~621
Gocht A / 1987 / Central pontine and extrapontine myelinolysis : a report of 58 cases / Clin Neuropathol 6:262~270
Kallakatta RN / 2011 / Clinical and functional outcome and factors predicting prognosis in osmotic demyelination syndrome (central pontine and/or extrapontine myelinolysis) in 25 patients / J Neurol Neurosurg Psychiatry 82:326~331
King JD / 2010 / Osmotic demyelination syndrome / Am J Med Sci 339:561~567
Gankam Kengne F / 2009 / Re-induction of hyponatremia after rapid overcorrection of hyponatremia reduces mortality in rats / Kidney Int 76:614~621
Gocht A / 1987 / Central pontine and extrapontine myelinolysis : a report of 58 cases / Clin Neuropathol 6:262~270
Kallakatta RN / 2011 / Clinical and functional outcome and factors predicting prognosis in osmotic demyelination syndrome (central pontine and/or extrapontine myelinolysis) in 25 patients / J Neurol Neurosurg Psychiatry 82:326~331
King JD / 2010 / Osmotic demyelination syndrome / Am J Med Sci 339:561~567
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