Reversible Clinical and Magnetic Resonance Imaging of Central Pontine Myelinolysis Following Surgery for Craniopharyngioma: Serial Magnetic Resonance Imaging Studies -Case Report-

• KAWAHARA Ichiro

  Department of Neurosurgery, Nagasaki Prefectural Shimabara Hospital

• TOKUNAGA Yoshiharu

  Department of Neurosurgery, Nagasaki Prefectural Shimabara Hospital

• ISHIZAKA Shunsuke

  Department of Neurosurgery, Nagasaki Prefectural Shimabara Hospital

• YAGI Nobuhiro

  Department of Neurosurgery, Nagasaki Prefectural Shimabara Hospital

書誌事項

タイトル別名

• —Case Report—

抄録

An 18-year-old girl presented with central pontine myelinolysis (CPM) following surgery for craniopharyngioma. Postoperatively, the patient developed diabetes insipidus with remarkable fluctuation of serum sodium level, suffered a seizure, and developed mental state changes and quadriparesis. Magnetic resonance (MR) imaging obtained soon after the development of the symptoms showed no significant abnormalities. MR imaging obtained 2 months later demonstrated typical trident or bat-like signal abnormalities in the center of the pons, compatible with CPM. Serial MR imaging obtained at 7 and 10 months showed the lesion had decreased in size or almost completely resolved and the patient almost completely recovered. CPM is well known, but neurosurgeons should consider the possibility following surgery for craniopharyngioma.<br>

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 49 (3), 120-123, 2009

  一般社団法人 日本脳神経外科学会

キーワード

• central pontine myelinolysis
• craniopharyngioma
• hyponatremia
• prognosis
• serial magnetic resonance imaging

詳細情報

• CRID: 1390001205054536320
• NII論文ID: 110007131669
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.49.120
• ISSN: 13498029
• ISSN: 04708105
• Web Site: http://www.jstage.jst.go.jp/article/nmc/49/3/49_3_120/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2009251465
• 本文言語コード: en
• データソース種別:
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  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可