Extrapontine Myelinolysis and Acute Parkinsonism
Author Information
Author(s): Sajith J, Ditchfield A, Katifi HA
Primary Institution: Queen Elizabeth Hospital, Woolwich, London
Hypothesis
Can extrapontine myelinolysis present with acute parkinsonism and lead to complete recovery with symptomatic support?
Conclusion
Extrapontine myelinolysis can lead to complete recovery with symptomatic support alone.
Supporting Evidence
- The patient presented with acute parkinsonism-like features after slow correction of hyponatraemia.
- Follow-up MRI showed significant resolution of the basal ganglia changes after treatment.
- The patient had a history of coeliac disease and hypothyroidism, which contributed to her condition.
Takeaway
A woman got very sick after her sodium levels were corrected too slowly, but she got better with treatment. This shows that sometimes, even serious conditions can improve with the right care.
Methodology
Case report detailing the clinical presentation, treatment, and follow-up of a single patient.
Limitations
The findings are based on a single case, which may not be generalizable.
Participant Demographics
41-year-old Caucasian woman.
Digital Object Identifier (DOI)
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