Doctor insights on:
Central Pontine Myelinolysis
Nerve fibers have a central axon insulated by myelin covering. Demyelination is damage to the myelin, and typically experienced in multiple sclerosis due to an autoimmune attack by lymphocytes, but may be seen also in hereditary leukodystrophies, acute encephalomyelitis, ...Read more
What do you suggest if my mom has sever central pontine myelinolysis,who knows any information on it?
This looks like one: of the better over views that I could find: http://www.healthline.com/health/central-pontine-myelinolysis#Overview1 ...Read more
Does Central Pontine Myelinolysis (after a hypernatremic state) always show up on MRI? Other test results?
Yes: Now called "osmotic demyelination syndrome", it is a neurological disease caused by severe damage of the myelin sheath of nerve cells in the brainstem and sometimes outside the brainstem. It can be caused by rapid correction of low serum sodium. Less commonly, it may also present in patients with a history of chronic alcoholism or other conditions related to decreased liver function. ...Read more
Hi, I drank water on Saturday in an 8hr span and before I drank I ate high sodium foods, and after I also ate some snacks, can I get central pontine?
Doubtful: The central pontine demylin you are worried about is with rapid intravenous changes , lowering the sodium rapidly. Oral intake is a slow process and you would really would have to had extreme intake of salts to make a significant difference in serum sodium and then massive amounts of water to dilute the Na. Moderation it important. I wouldn't fool around drinking gallons of water and eating salt ...Read more
Effects, signs, diagnosis of central pontine myelinosis? Would serum sodium be high if patient consumed lots of oral water? What are lasting effects?
CPM and sodium: Central pontine myelinolysisis uncommon. The symptoms depend upon which descending motor pathways are dysrupted and weather or not the tracts or nuclei that control eye movements are affected. It is the rapid correction of a sodium imbalance that is thought to lead to this state. Drinking lots of water can cause hyponatremia not hypernatremia. ...Read more
In central pontine myelinosis fromrapid sodium intake w/o muchwater, would the serum sodium be abnormally high or could it be normal after hydration?
Low Sodium: Central pontine myelinosis occurs when there is rapid sodium replacement in a person with low sodium.. This can occur with going from low to normal sodium levels. ...Read more
Nonspecific term: Think of the nervous system as a tree with a brain as the top and spinal cord as its roots.The pontine region acts as the main trunk through which bundles of nerves are channeled & make various connections. Pontine atrophy describes a loss of substance in the area & implys that there will be loss of functions related to areas lost. ...Read more
Central pontine: A condition associated with alcoholism, malnutrition, and liver disease, where sodium rises too fast. There is no cure once present, and no reversibility. Physical therapy may be useful to cope, but will not do enough. Perhaps seek out a rehab doctor, and see what might be useful. Perhaps thiamine supplements may be useful. ...Read more
Loss of nerve cover: Myelin acts as an insulation and covers nerves both in central and peripheral nervous systems, and the above term implies loss of myelin. This is often a description of multiple sclerosis, but is seen in the periphery in guillain-barre syndrome and chronic demyelinating immune neuropathies. ...Read more
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