Extrapontine Myelinolysis in an 18-Month-Old Boy With Diabetic Ketoacidosis: Case Report and Literature Review

被引：4

作者：

Gencpinar, Pinar ^{[1
]}

Tekguc, Hakan ^{[2
]}

Senol, A. Utku ^{[3
]}

Duman, Ozgur ^{[1
]}

Dursun, Oguz ^{[2
]}

机构：

[1] Akdeniz Univ, Dept Child Neurol, Fac Med, TR-07058 Antalya, Turkey

[2] Akdeniz Univ, Fac Med, Dept Pediat Intens Care, TR-07058 Antalya, Turkey

[3] Akdeniz Univ, Dept Radiol, Fac Med, TR-07058 Antalya, Turkey

来源：

JOURNAL OF CHILD NEUROLOGY | 2014年 / 29卷 / 11期

关键词：

extrapontine myelinolysis; children; diabetic ketoacidosis; CENTRAL PONTINE MYELINOLYSIS; OSMOTIC DEMYELINATION SYNDROME; RAPID CORRECTION; CHILD; HYPONATREMIA; OVERCORRECTION; MINOCYCLINE; 4-YEAR-OLD; EDEMA; DDAVP;

D O I：

10.1177/0883073813520496

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Extrapontine myelinolysis is characterized by symmetric demyelination following rapid shifts in serum osmolality in the supratentorial compartment. Extrapontine myelinolysis in children is rare compared to adults. The most common underlying pathophysiology is rapid correction of hyponatremia. Only 2 cases were published after diabetic ketoacidosis without electrolyte imbalance in the English literature. This study presents an unusual and possibly the youngest case of extrapontine myelinolysis that occurred in the setting of diabetic ketoacidosis and complicated cerebral edema without electrolyte imbalance, along with a review of the literature.

引用

页码：1548 / 1553

页数：6

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