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Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report

A 27 year-old Chinese man, involved in a motor vehicle accident, presented with rapidly progressive pseudobulbar palsy and spastic tetraplegia. Magnetic resonance imaging (MRI) of the brain showed central pontine T2 hyperintensity with an unaffected outer rim, consistent with central pontine myelino...

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Main Authors: Sharmini, J., Lim, Kheng Seang, Ramli, N., Tan, Chong Tin
Format: Article
Published: Asean Neurological Assoc 2010
Subjects:
Q Science (General)
Online Access:http://eprints.um.edu.my/12660/
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spelling my.um.eprints.126602019-04-16T11:17:07Z http://eprints.um.edu.my/12660/ Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report Sharmini, J. Lim, Kheng Seang Ramli, N. Tan, Chong Tin Q Science (General) A 27 year-old Chinese man, involved in a motor vehicle accident, presented with rapidly progressive pseudobulbar palsy and spastic tetraplegia. Magnetic resonance imaging (MRI) of the brain showed central pontine T2 hyperintensity with an unaffected outer rim, consistent with central pontine myelinolysis. There was no hyponatraemia before MRI and he was neither an alcoholic nor malnourished. Cerebral angiogram confirmed the diagnosis of right vertebral artery dissection. Vertebral artery dissection should be considered in a case with imaging suggestive of central pontine myelinolysis. Asean Neurological Assoc 2010 Article PeerReviewed Sharmini, J. and Lim, Kheng Seang and Ramli, N. and Tan, Chong Tin (2010) Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report. Neurology Asia, 15 (2). pp. 167-171.
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic Q Science (General)
spellingShingle Q Science (General)
Sharmini, J.
Lim, Kheng Seang
Ramli, N.
Tan, Chong Tin
Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report
description A 27 year-old Chinese man, involved in a motor vehicle accident, presented with rapidly progressive pseudobulbar palsy and spastic tetraplegia. Magnetic resonance imaging (MRI) of the brain showed central pontine T2 hyperintensity with an unaffected outer rim, consistent with central pontine myelinolysis. There was no hyponatraemia before MRI and he was neither an alcoholic nor malnourished. Cerebral angiogram confirmed the diagnosis of right vertebral artery dissection. Vertebral artery dissection should be considered in a case with imaging suggestive of central pontine myelinolysis.
format Article
author Sharmini, J.
Lim, Kheng Seang
Ramli, N.
Tan, Chong Tin
author_facet Sharmini, J.
Lim, Kheng Seang
Ramli, N.
Tan, Chong Tin
author_sort Sharmini, J.
title Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report
title_short Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report
title_full Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report
title_fullStr Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report
title_full_unstemmed Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report
title_sort traumatic vertebral artery dissection mimicking central pontine myelinolysis: a case report
publisher Asean Neurological Assoc
publishDate 2010
url http://eprints.um.edu.my/12660/
_version_ 1643689347747151872
score 13.211869

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