Central pontine myelinolysis and ataxia: An unusual manifestation of hypoglycaemia

Diabetic Medicine

Volumn 15, Issue 3, 1998, Pages 259-261

  Rajbhandari, S M ^a   Powell, T ^a   Davies Jones, G A B ^a   Ward, J D ^a  

^a ROYAL HALLAMSHIRE HOSPITAL   (United Kingdom)

Author keywords

Central pontine myelinolysis; Hypoglycaemia

Indexed keywords

ADULT; ARTICLE; ATAXIA; BLOOD GLUCOSE MONITORING; CASE REPORT; CENTRAL PONTINE MYELINOLYSIS; CLINICAL FEATURE; DIABETIC NEUROPATHY; DIABETIC RETINOPATHY; FEMALE; HUMAN; HYPOGLYCEMIA; INSULIN DEPENDENT DIABETES MELLITUS; LASER COAGULATION; NECROBIOSIS LIPOIDICA; UNCONSCIOUSNESS; VITRECTOMY;

ADULT; ATAXIA; BLOOD GLUCOSE; DIABETES MELLITUS, TYPE 1; FEMALE; HUMANS; HYPOGLYCEMIA; MAGNETIC RESONANCE IMAGING; MYELINOLYSIS, CENTRAL PONTINE;

EID: 0031881897     PISSN: 07423071     EISSN: None     Source Type: Journal    
DOI: 10.1002/(SICI)1096-9136(199803)15:3<259::AID-DIA548>3.0.CO;2-J     Document Type: Article

References (14)

1. Amiel SA. Hypoglycaemia in diabetes mellitus - protecting the brain. Diabetologia 1997; 40(S2): S62-S68.
2. Golden LA. Neurological manifestations in 'hypoglycemic shock'. Ann Intern Med 1937; 11: 819-822.
3. Shintani S, Tsuruoka S, Shiigai T. Hypoglycemic hemiplegia: a repeat SPECT Study. Journal of Neurology, Neurosurgery & Psychiatry 1993; 56: 700-701.
4. Newman RP, Kinkel WR. Paroxysmal choreoathetosis due to hypoglycaemia. Arch Neurol 1984; 41: 341-342.
5. Schmidt BJ, Pillay N. Paroxysmal dyskinesia associated with hypoglycaemia. Can J Neurol Sci 1993; 20: 151-153.
6. Esforzado N, Poch E, Cases A, Cardenal C, Lopez-Pedret J, Revert L. Central pontine myelinolysis secondary to frequent and rapid shifts in plasma glucose in diabetic haemodialysis patient. Nephrology Dialysis Transplantation 1993; 8: 644-646.
7. Adams RA, Victor M, Mancall EL. Central pontine myelinolysis: a hitherto undescribed disease occurring in alcoholics and malnourished patients. Arch Neurol Psychiatry 1959; 81: 154-172.
8. Newell KL, Kleinschmidt-DeMasters BK. Central pontine myelinolysis at autopsy; a twelve year retrospective analysis. J Neurol Sci 1996; 142: 134-139.
9. McKee AC, Winkelman MD, Banker BQ. Central pontine myelinolysis in severely burned patients: relationships to serum hypersomolality. Neurology 1988; 38: 1211-1217.
10. Defebvre L, Rogelet P, Destee A, Verier A. Regressive dystonia and cerebellar ataxia: two unusual symptoms in central pontine myelinolysis J Neurol 1995; 242: 450-454.
11. Meyor S, Portnoy H. Localized cerebral hypoglycaemia simulating stroke. Neurology 1958; 8: 601-614.
12. Lawrence RD, Meyer A, Nevin S. The pathological changes in the brain in fatal hypoglycaemia. Q J Med 1942; 87: 181-201.
13. Kalimo H, Olsson Y. Effects of severe hypoglycaemia on the human brain. Acta Neurol Scand 1980; 62: 345-356.
14. The Diabetes Control and Complications Research Group. Effects of intensive diabetes therapy on neurophysiological function in adults in the Diabetes Control and Complication Trial. Ann Int Med 1996; 124: 379-388.