Amelioration of extrapontine myelinolysis and reversible Parkinsonism in a patient with asymptomatic hypopituitarism

Kyoko Okada, Masatoshi Nomura, Norihiro Furusyo, Shigeru Otaguro, Shigeki Nabeshima, Jun Hayashi

研究成果: Contribution to journalArticle査読

17 被引用数 (Scopus)

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
44
7
DOI
出版ステータス出版済み - 7 2005

All Science Journal Classification (ASJC) codes

  • 内科学

フィンガープリント

「Amelioration of extrapontine myelinolysis and reversible Parkinsonism in a patient with asymptomatic hypopituitarism」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル