Central Pontine Myelinolysis in Female Patient with Anorexia Nervosa
M. Sekot 1; O. Doležal 2; V. Kmoch 1; F. D. Krch 1; C. Lakomý 2; H. Papežová 1; Z. Seidl 3
Psychiatrická klinika 1. LF UK a VFN, Praha
1; Neurologická klinika 1. LF UK a VFN, Praha
2; Radiodiagnostická klinika 1 LF UK a VFN, Praha
Čes. a slov. Psychiat., 103, 2007, No. 6, pp. 297-301.
Central pontine myelinolysis (CPM) is neurologic disorder defined by symmetric demyelination of central base of the cerebral stem. This condition originally described in chronic alcohol abusers suffering from malnutrition, could be observed in patiens with electrolyte imbalance, where realimentation is needed. Until recently its outcome was considered invariably poor if not fatal (75% mortality) . This case report describes CPM in a 21 year old female patient with anorexia nervosa. This patient developed CPM afer rapid recovery of hyponatraemia, hypokalemia and hypochloreamia. The course of this case report was favourable.
central pontine myelinolysis, osmotic demyelination syndrome, eating disorders, anorexia nervosa.