Reversible extrapyramidal symptoms of extrapontine myelinolysis in a child following surgery for craniopharyngioma

In this article, the authors describe a case of EPM with reversible extrapyramidal symptoms in a malnourished child following surgery for a craniopharyngioma. 2 Case report A six years old boy presented with history of headache and deterioration of vision since six months. FLAIR and T2 weighted sequ...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2014-01, Vol.116 (C), p.96-98
Main Authors: Sai Kiran, Narayanam Anantha, Mohan, Dilip, Sadashiva Rao, Arun, Assis, Zarina Abdul, Thakar, Sumit, Hegde, Alangar S
Format: Article
Language:English
Subjects:
Child
Craniopharyngioma
Craniopharyngioma - pathology
Craniopharyngioma - surgery
Drug dosages
Extrapontine myelinolysis
Extrapyramidal symptoms
Humans
Male
Malnutrition
Myelinolysis, Central Pontine - diagnosis
Myelinolysis, Central Pontine - pathology
Myelinolysis, Central Pontine - surgery
Neurology
Neurosurgery
Osmotic demyelination syndrome
Ostomy
Pediatrics
Pituitary Neoplasms - pathology
Pituitary Neoplasms - surgery
Postoperative Complications - therapy
Postoperative period
Surgery
Treatment Outcome
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Summary:In this article, the authors describe a case of EPM with reversible extrapyramidal symptoms in a malnourished child following surgery for a craniopharyngioma. 2 Case report A six years old boy presented with history of headache and deterioration of vision since six months. FLAIR and T2 weighted sequences in a repeat MRI [POD 21] revealed symmetrical hyperintense signal changes involving the putamen, head of the caudate nucleus and thalamus, with sparing of the pallidum and brain stem (Fig. 1f-k). Malnourished patients with impaired regeneration of intracellular organic osmoles like myoinositol, taurine, glutamate etc. are vulnerable to the development of ODS after an acute osmotic shift [2].
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2013.10.016