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Case Reports
. 2013 Dec 23;2013(2):29-32.
doi: 10.5339/qmj.2013.12. eCollection 2013.

A case of acute onset parkinsonism

Teny Mathew John, Ceena Neena Jacob  1 , Jerry Xavier  1 , Saifudeen Kondanath  1 , Cherian C Ittycheria  1 , R Jayaprakash  1
Affiliations
Case Reports

A case of acute onset parkinsonism

Teny Mathew John et al. Qatar Med J. .

Abstract

Extra pontine myelinolysis (EPM) is a form of osmotic demyelination syndrome, characterized by the presence of signal alterations in varied sites in the brain other than the pons. When caudate and putamen are involved, it results in a constellation of extra pyramidal signs and symptoms resembling parkinsonism. Here we report a case of this unique syndrome presenting with features of parkinsonism which was successfully treated with dopaminergic drugs.

Keywords: cxtrapontine myelinolysis (EPM); hyponatremia; osmotic demyelination; parkinsonism.

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Figures

Figure 1.
Figure 1.
Changes in serum sodium with relation to the onset of symptoms of EPM.
Figure 2.
Figure 2.
Panel A. tbl2 weighted MRI shows symmetrical bilateral hyperintensities in caudate nucleus and putamen (small arrow) with sparing of globus pallidus (broad arrow).
See this image and copyright information in PMC

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