Abstract
A 44-year-old female is described who developed persistent upper extremity and orolingual dystonia several weeks after suspected onset of central pontine myelinolysis (CPM), later confirmed by characteristic pontine lesions on MRI. No foci of the extrapontine myelinolysis were evident. This case confirms that dystonia may be a late and persistent sequela of CPM and may occur in the absence of visible lesions outside the brainstem.
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Clifford D. B., Gado M. H., Levy B. K. Osmotic demyelination syndrome. Lack of pathologic and radiologic imaging correlation. Arch Neurol. 1989 Mar;46(3):343–347. doi: 10.1001/archneur.1989.00520390109028. [DOI] [PubMed] [Google Scholar]
- Coleman R. J., Quinn N. P., Marsden C. D. Multiple sclerosis presenting as adult onset dystonia. Mov Disord. 1988;3(4):329–332. doi: 10.1002/mds.870030408. [DOI] [PubMed] [Google Scholar]
- Dickoff D. J., Raps M., Yahr M. D. Striatal syndrome following hyponatremia and its rapid correction. A manifestation of extrapontine myelinolysis confirmed by magnetic resonance imaging. Arch Neurol. 1988 Jan;45(1):112–114. doi: 10.1001/archneur.1988.00520250122033. [DOI] [PubMed] [Google Scholar]
- Fross R. D., Martin W. R., Li D., Stoessl A. J., Adam M. J., Ruth T. J., Pate B. D., Burton K., Calne D. B. Lesions of the putamen: their relevance to dystonia. Neurology. 1987 Jul;37(7):1125–1129. doi: 10.1212/wnl.37.7.1125. [DOI] [PubMed] [Google Scholar]
- Mao C. C., Gancher S. T., Herndon R. M. Movement disorders in multiple sclerosis. Mov Disord. 1988;3(2):109–116. doi: 10.1002/mds.870030202. [DOI] [PubMed] [Google Scholar]
- Maraganore D. M., Folger W. N., Swanson J. W., Ahlskog J. E. Movement disorders as sequelae of central pontine myelinolysis: report of three cases. Mov Disord. 1992;7(2):142–148. doi: 10.1002/mds.870070208. [DOI] [PubMed] [Google Scholar]
- Schaumburg H. H., Spencer P. S. Recognizing neurotoxic disease. Neurology. 1987 Feb;37(2):276–278. doi: 10.1212/wnl.37.2.276. [DOI] [PubMed] [Google Scholar]
- Thompson P. D., Miller D., Gledhill R. F., Rossor M. N. Magnetic resonance imaging in central pontine myelinolysis. J Neurol Neurosurg Psychiatry. 1989 May;52(5):675–677. doi: 10.1136/jnnp.52.5.675. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tison F. X., Ferrer X., Julien J. Delayed onset movement disorders as a complication of central pontine myelinolysis. Mov Disord. 1991;6(2):171–173. doi: 10.1002/mds.870060215. [DOI] [PubMed] [Google Scholar]

