抄録
A 37-year-old woman with a history of transphenoidal surgery and gamma knife treatment for prolactinoma was admitted because of pneumoniae with hyponatremia (Na 109 mmol/l). After the careful correction of the serum sodium level within 15 mmol/l/day, the patient developed parkinsonism. MRI of the brain disclosed a signal increase in the bilateral basal ganglias on T2-weighted images, a finding consistent with extrapontine myelinolysis (EPM). Interestingly, the parkinsonism fully disappeared after the replacement therapy of hydrocortisone for adrenal insufficiency due to hypopituitarism, and MRI 5 months later showed complete disappearance of the lesions, indicating the patient had ameliorated from the EPM.
本文言語 | 英語 |
---|---|
ページ(範囲) | 739-742 |
ページ数 | 4 |
ジャーナル | Internal Medicine |
巻 | 44 |
号 | 7 |
DOI | |
出版ステータス | 出版済み - 7月 2005 |
!!!All Science Journal Classification (ASJC) codes
- 内科学