삼투압성 수초용해 환자에서 발생한 근육병증
A Case of Myopathy in Osmotic Myelinolysis
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Osmotic myelinolysis or osmotic demyelination syndrome (ODS) is a demyelinating disease of the pons and other areas of the central nervous system (CNS). The following case report describes a patient who developed critical illness myopathy (CIM) in the setting of ODS. This report presents a 41- year-old male with ODS, whose hyponatremia was corrected. Brain magnetic resonance imaging (MRI) demonstrated the existence of ODS in the central pons and the bilateral basal ganglia. Several days later, muscle enzyme level elevated, electromyography (EMG) and nerve conduction studies demonstrated myopathic findings. The patient showed gradual improvement with conservative management. We report a case of critical illness myopathy, associated with osmotic demyelination syndrome.
Abstract
Osmotic myelinolysis or osmotic demyelination syndrome (ODS) is a demyelinating disease of the pons and other areas of the central nervous system (CNS). The following case report describes a patient who developed critical illness myopathy (CIM) in the setting of ODS. This report presents a 41- year-old male with ODS, whose hyponatremia was corrected. Brain magnetic resonance imaging (MRI) demonstrated the existence of ODS in the central pons and the bilateral basal ganglia. Several days later, muscle enzyme level elevated, electromyography (EMG) and nerve conduction studies demonstrated myopathic findings. The patient showed gradual improvement with conservative management. We report a case of critical illness myopathy, associated with osmotic demyelination syndrome.
참고문헌 (9)
- Lampl C, "Central pontine myelinolysis", Eur Neurol, 47, pp.3~10 (2002)
- 박제원, "교뇌중심부 및 추체로에 국한된 삼투성 수초용해 1예", 대한신경과학회지, 22(5), pp.529~531 (2004), 대한신경과학회
- Victor M, "Neurologic complications of alcohol abuse: Epidemiologic aspects. in : Advances in Neurology", pp.603~617 (1978), Raven Press
- Norenberg MD, "Association between rise in serum sodium and central pontine myelinolysis", Ann Neurol, 11, pp.128~135 (1982)
- Norenberg MD, "Chronicity of hyponatremia as a factor in experimental myelinolysis", Ann Neurol, 15, pp.544~547 (1984)
- Riggs JE, "Osmotic stress, osmotic myelinolysis and oligodendrocyte topography", Arch Pathol Lab Med, 113, pp.1386~1388 (1989)
- Hermans G, "Critical review: Critical illness polyneuropathy and myopathy", Critical Care, 12, pp.238~247 (2008)
- Rich M, "Direct muscle stimulation in acute quadriplegic myopathy", Muscle Nerve, 20, pp.665~673 (1997)
- Finsterer J, "Influence of disposable, concentric needle electrodes on muscle enzyme and lactate serum levels", Journal of Electromyography and Kinesiology, 4, pp.329~337 (2002)