CENTRAL PONTINE MYELINOLYSIS IN CELIAC DISEASE PATIENT- A CASE REPORT
Central pontinemyelinolysis(CPM)also known as osmotic demyelination syndrome , is a neurological disease caused by severe damage of the myelin sheath of nerve cells in the brainstem, more precisely in the area termed the pons, predominately of iatrogenic etiology1. It is characterized by acute paralysis, dysphagia (difficulty in swallowing), and dysarthria (difficulty inspeaking), and other neurological symptoms.2
The most common cause is the too rapid correction of low blood sodium levels.CPM may also occur in patients affected by
- Severe liver disease
- Liver transplant
- Severe burns
- Severe electrolyte disorders
- Hyperemesis gravidarum
- Hyponatremia due to Peritoneal Dialysis
- Wernicke encephalopathy
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