Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko · 2016
Extrapontine myelinolysis developed after aneurysmal subarachnoid hemorrhage (a case report and literature review).
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Goroshchenko S A, Ivanov A Yu, Rozhchenko L V, Ivanova N E, Zabrodskaya Yu M, Razmologova O Yu, Kondrat'ev A N, Potemkina E G, Dmitrievskaya A Yu, Blagorazumova G P, Radzhabov S D, Petrov A E, Ivanov A A, Sinitsyn P S, Bobinov V V
Аннотация
TOPICALITY: Central pontine and extrapontine myelinolysis is a rare and dangerous form of the demyelinating process of undefined origin, the development of which is associated with a very low sodium level in the blood (hypernatremia).
OBJECTIVE: To describe a rare case of extrapontine myelinolysis as a complication occurring in the hemorrhagic period of anterior communicating artery aneurysm rupture as well as to demonstrate that this condition can be diagnosed intravitally.
CONCLUSION: Clinical vigilance of extrapontine myelinolysis may promote the timely diagnosis and treatment of this disease, which is a potential cause of death. Pulse-therapy with glucocorticoids provides the opportunity to achieve regression of neurological symptoms and to stabilize the patient's condition.
OBJECTIVE: To describe a rare case of extrapontine myelinolysis as a complication occurring in the hemorrhagic period of anterior communicating artery aneurysm rupture as well as to demonstrate that this condition can be diagnosed intravitally.
CONCLUSION: Clinical vigilance of extrapontine myelinolysis may promote the timely diagnosis and treatment of this disease, which is a potential cause of death. Pulse-therapy with glucocorticoids provides the opportunity to achieve regression of neurological symptoms and to stabilize the patient's condition.