Striatal Syndrome Following Hyponatremia and Its Rapid Correction: A Manifestation of Extrapontine Myelinolysis Confirmed by Magnetic Resonance Imaging

David J. Dickoff, Mitchell Raps, Melvin D. Yahr

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

Several pathologic reports have indicated the occurrence of extrapontine sites of myelinosis associated with electrolyte disturbance and its rapid correction. Clinical evidence of the presence of such lesions, however, have rarely been described. We report a case of a 50-year-old man who following rapid correction of electrolyte imbalance developed a profound striatal syndrome. The clinical manifestations, the course of his illness as well as response to therapy, confirmation of lesion sites by magnetic resonance imaging (MRI), and abnormalities on visually evoked potentials are described in detail.

Original languageEnglish
Pages (from-to)112-114
Number of pages3
JournalArchives of Neurology
Volume45
Issue number1
DOIs
StatePublished - Jan 1988
Externally publishedYes

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