Extrapontine Myelinolysis of Osmotic Demyelination Syndrome in a Case of Postoperative Suprasellar Arachnoid Cyst

The extrapontine myelinolysis of osmotic demyelination syndrome (ODS) is a well-known but uncommon disorder of the central nervous system. Although the mechanism is not fully understood and the treatment is controversial, hyponatremia is probably considered to be the main pathophysiological basis. T...

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Main Authors: Peng Zhao, Xuyi Zong, Xinsheng Wang, Yazhuo Zhang
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/679257
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author Peng Zhao
Xuyi Zong
Xinsheng Wang
Yazhuo Zhang
author_facet Peng Zhao
Xuyi Zong
Xinsheng Wang
Yazhuo Zhang
author_sort Peng Zhao
collection DOAJ
description The extrapontine myelinolysis of osmotic demyelination syndrome (ODS) is a well-known but uncommon disorder of the central nervous system. Although the mechanism is not fully understood and the treatment is controversial, hyponatremia is probably considered to be the main pathophysiological basis. There are few reports of ODS caused by a sellar lesion. Here we present a case of suprasellar arachnoid cyst that developed extrapontine myelinolysis of ODS after a neuroendoscopic treatment procedure. It is suggested that patients with suprasellar lesions are at risk of developing extrapontine myelinolysis of ODS and correction of hyponatremia in these cases should be closely monitored.
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institution Kabale University
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language English
publishDate 2012-01-01
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series Case Reports in Medicine
spelling doaj-art-9eb6e83f6321486ba3cb6bfa10f4f3162025-02-03T01:06:41ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/679257679257Extrapontine Myelinolysis of Osmotic Demyelination Syndrome in a Case of Postoperative Suprasellar Arachnoid CystPeng Zhao0Xuyi Zong1Xinsheng Wang2Yazhuo Zhang3Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, ChinaBeijing Neurosurgical Institute, Capital Medical University, No. 6 Tiantan Xili, Chongwen District, Beijing 100050, ChinaThe extrapontine myelinolysis of osmotic demyelination syndrome (ODS) is a well-known but uncommon disorder of the central nervous system. Although the mechanism is not fully understood and the treatment is controversial, hyponatremia is probably considered to be the main pathophysiological basis. There are few reports of ODS caused by a sellar lesion. Here we present a case of suprasellar arachnoid cyst that developed extrapontine myelinolysis of ODS after a neuroendoscopic treatment procedure. It is suggested that patients with suprasellar lesions are at risk of developing extrapontine myelinolysis of ODS and correction of hyponatremia in these cases should be closely monitored.http://dx.doi.org/10.1155/2012/679257
spellingShingle Peng Zhao
Xuyi Zong
Xinsheng Wang
Yazhuo Zhang
Extrapontine Myelinolysis of Osmotic Demyelination Syndrome in a Case of Postoperative Suprasellar Arachnoid Cyst
Case Reports in Medicine
title Extrapontine Myelinolysis of Osmotic Demyelination Syndrome in a Case of Postoperative Suprasellar Arachnoid Cyst
title_full Extrapontine Myelinolysis of Osmotic Demyelination Syndrome in a Case of Postoperative Suprasellar Arachnoid Cyst
title_fullStr Extrapontine Myelinolysis of Osmotic Demyelination Syndrome in a Case of Postoperative Suprasellar Arachnoid Cyst
title_full_unstemmed Extrapontine Myelinolysis of Osmotic Demyelination Syndrome in a Case of Postoperative Suprasellar Arachnoid Cyst
title_short Extrapontine Myelinolysis of Osmotic Demyelination Syndrome in a Case of Postoperative Suprasellar Arachnoid Cyst
title_sort extrapontine myelinolysis of osmotic demyelination syndrome in a case of postoperative suprasellar arachnoid cyst
url http://dx.doi.org/10.1155/2012/679257
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AT xinshengwang extrapontinemyelinolysisofosmoticdemyelinationsyndromeinacaseofpostoperativesuprasellararachnoidcyst
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