ISSN:
1432-0533
Keywords:
Glialdystrophy
;
Central pontine myelinolysis (multifocal type)
;
Capillarcalcinosis
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary This study reports on a case of extremely chronic course of central pontine myelinolysis (multifocal type) with proliferation of glial fibres and asiderotic calcinosis of capillaries in a 2 8/12 years old girl. Since the first weeks of life there were observed periodic states of emesis, rumination and diarrhoe with hyperpyretic toxicosis, dehydration, exsiccosis, decrease in weight, cyanosis and decentralisation of circulation. Failure of drive, apathic states, statomotoric retardation, atonicastatic symptoms changing with extrapyramidal-pyramidal signs and loss of speech developed progressively since the eighth month. There were bilateral symmetrical lesions in the spinal cord, medulla, central grisea (without pallidum), cerebellum (without dentatum), and hippocampus. Glial fibres and intramural asiderotic calcinosis in the extracellular space of the vascular walls were only found in the burnt-out lesions, but not in the florid glialdystrophic demyelinated areas. The missing of Fe2+ in the concrements is caused by the youth of the patient. Besides the glial-dystrophic process there were fresh and old hypoxic foci in the cerebral and cerebellar cortex. It is assumed, that this burnt-out process of the multifocal-lesion-type of central pontine myelinolysis was caused by the eminently chronic course of periodic states of emesis, diarrhoe, dehydration and exsiccosis, decrease of weight, hyperpyretic toxicosis and decentralisation of circulation.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01273265
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