Central pontine myelinolysis in a patient with anorexia nervosa

被引:14
作者
Amann, B
Schäfer, M
Sterr, A
Arnold, S
Grunze, H
机构
[1] Univ Munich, Dept Psychiat, D-80336 Munich, Germany
[2] Univ Munich, Dept Neurol, D-80336 Munich, Germany
关键词
pontine myelinolysis; anorexia; hyponatremia; water intoxication;
D O I
10.1002/eat.1109
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Myelinolysis may occur as a severe complication of eating disorders, especially anorexia nervosa (AN). One of the most important reasons can be a rapid correction of hyponatremia caused by tubulopathy, water intoxication (WI), or abuse of diuretics in individuals with AN. Method and Results: We report on a 24-year-old female patient with an 8-year history of AN. A rapid correction of severe hyponatremia and hypokalemia induced by WI led to central pontine myelinolysis, which was confirmed by magnetic resonance imaging (MRI) examination. Besides affective lability, incoherence, and an acute confusional state, surprisingly, no severe neurological symptoms emerged. Conclusion: Thus, physicians should be aware of the risk of pontine myelinolysis with new psychiatric symptoms emerging in the absence of obvious neurological deficits. (C) 2001 by John Wiley & Sons, Inc.
引用
收藏
页码:462 / 466
页数:5
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