Isolated extra pontine myelinolysis presenting as acute onset parkinsonism
I Rizvi, M Ahmad, A Gupta, N Zaidi - Case Reports, 2012 - casereports.bmj.com
A 50-year-old woman was brought to the emergency department with complaints of altered
mental status, her serum sodium at that time was 103mmol/l. Slow correction of
hyponatraemia was started but despite every effort serum sodium rise was rapid. Although
the patient improved initially, after 4 days she presented with features of parkinsonism. MRI
brain was done and it was suggestive of features of EPM. She responded well to levodopa
plus carbidopa therapy.
mental status, her serum sodium at that time was 103mmol/l. Slow correction of
hyponatraemia was started but despite every effort serum sodium rise was rapid. Although
the patient improved initially, after 4 days she presented with features of parkinsonism. MRI
brain was done and it was suggestive of features of EPM. She responded well to levodopa
plus carbidopa therapy.
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