Reversible Clinical and Magnetic Resonance Imaging of Central Pontine Myelinolysis Following Surgery for Craniopharyngioma : Serial Magnetic Resonance Imaging Studies
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概要
- 論文の詳細を見る
An 18-year-old girl presented with central pontine myelinolysis (CPM) following surgery for craniopharyngioma. Postoperatively, the patient developed diabetes insipidus with remarkable fluctuation of serum sodium level, suffered a seizure, and developed mental state changes and quadriparesis. Magnetic resonance (MR) imaging obtained soon after the development of the symptoms showed no significant abnormalities. MR imaging obtained 2 months later demonstrated typical trident or bat-like signal abnormalities in the center of the pons, compatible with CPM. Serial MR imaging obtained at 7 and 10 months showed the lesion had decreased in size or almost completely resolved and the patient almost completely recovered. CPM is well known, but neurosurgeons should consider the possibility following surgery for craniopharyngioma.
- 社団法人日本脳神経外科学会の論文
- 2009-03-15
著者
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Yagi Nobuhiro
Department Of Neurosurgery Nagasaki Prefectural Shimabara Hospital
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Yagi Nobuhiro
Department Of Cardiovascular Medicine The University Of Tokyo Graduate School Of Medicine
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Kawahara Ichiro
Department Of Neurosurgery Nagasaki Prefectural Shimabara Hospital
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TOKUNAGA Yoshiharu
Department of Neurosurgery Nagasaki University School of Medicine
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Tokunaga Yoshiharu
Department Of Neurosurgery Nagasaki Prefectural Shimabara Hospital
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ISHIZAKA Shunsuke
Department of Neurosurgery, Nagasaki Prefectural Shimabara Hospital
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Ishizaka Shunsuke
Department Of Neurosurgery Nagasaki Prefectural Shimabara Hospital
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Kawahara Ichiro
Department of Industrial Chemistry, School of Engineering, Okayama University
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