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Asymptomatic central pontine myelinolysis: a case report.


ABSTRACT:

Introduction

Central pontine myelinolysis (CPM) is an acquired demyelinating lesion of the basis pontis that typically occurs after rapid correction of hyponatremia. There are only a few reported cases of patients without symptoms that have demonstrated CPM on imaging.

Case presentation

We report the case of a 26-year-old Hispanic male with history of alcohol abuse who was transferred to our medical center for acute onset diffuse abdominal pain. During his work up, a computed tomography scan demonstrated a large pancreatic mass. He underwent an endoscopic guided biopsy which demonstrated a rare and aggressive natural killer T cell lymphoma. His laboratory values were consistent with hyponatremia, which the medical team gently corrected. An MRI was performed for staging purpo

SUBMITTER: Shah SO 

PROVIDER: S-EPMC3506049 | biostudies-literature | 2012 Sep

REPOSITORIES: biostudies-literature