지속적인 오심을 주소로 내원한 임신 16주 산모에서 발생한 중심성 뇌교 수초용해증 1례 = A Case of Central Pontine MyelinolysisPresenting as Continuous Nausea inthe 16th week of Pregnancy

다국어 초록 (Multilingual Abstract)

Central pontine myelinolysis (CPM) is a demyelinating disease
of the pons often associated as well with the demyelination
of extrapontine areas of the central nervous system.
Although the etiology and pathogenesis are unclear, CPM
is usually associated with states such as too rapid correction
of hyponatremia, alcohol intoxication, malnutrition, liver
disease, burn, cancer, addison’s disease, dehydrated disease,
and electrolyte imbalance.
Clinical presentations are nonspecific but are typically characterized
by confused mentation, bulbar or pseudobulbar
palsy (dysarthria, dysphagia, tetraplegia), rock-in syndrome,
and common symptoms such as lethargy and dysarthria.
Brain magnetic resonance imaging(MRI) in CPM results in
diffuse high signal intensity in the pons on T2-weighted
images, and shows slightly decreased signal intensity and
no enhancement in the central pons on T1-weighted
images.
We described a case of a 30-year-old woman presenting
with continuous nausea and vomiting in the 16th week of
pregnancy. In order to achieve early diagnosis of CPM, We
recommend that emergency physicians should consider
CPM during differential diagnosis. Prompt diagnosis and
management of associated complications are essential for
favorable clinical outcomes in CPM.

참고문헌 (Reference)

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