Central Pontine Myelinolysis in a Child: Clinical Case
https://doi.org/10.15690/pf.v18i6.2344
Abstract
Background. Central pontine myelinolysis (CPM) is limited symmetric non-inflammatory demyelination in the middle part of pontine. This disease is based on electrolyte balance disorders. Although CPM was firstly described in adults, but it can also occur in children. Every new case of CPM in children has undeniable interest and high scientific and practical significance due to its low incidence. Clinical case description. The child, 7 years old, had acute development, lethargy, multiple vomiting, subfebrile fever, pains in epigastric region. It has happened after drinking an unknown herb growing in the yard and previously covered with the insecticide "Akarin", according to the mother. The child was hospitalized in the pediatric department at the place of residence. The patient developed strabismus, swallowing disorder, and muscle weakness on infusion therapy. Biochemical blood test has shown hypokalemia and hyponatremia. Head MRI has shown symmetrical focal lesion of heterogeneous structure in pontine. Conclusion. Distinctive feature of this case is the development of CPM in a child on the ongoing therapy of hypokalemia and hyponatremia. The timely provision of qualified medical care has favoured the child's recovery.
About the Authors
Nailya F. Akhmetgaleeva
Children's Center of Psychoneurology and Epileptology of the Republican Children's Clinical Hospital
Russian Federation
Disclosure of interest:
Russian Federation
Nailya F. Akhmetgaleeva, MD. eLibrary SPIN: 7926-0260
10 Tihoreсkaya Str., 450106, Ufa
Disclosure of interest:
Not declared
El’vira M. Yausheva
Children's Center of Psychoneurology and Epileptology of the Republican Children's Clinical Hospital
Russian Federation
Disclosure of interest:
Russian Federation
El`vira M. Yausheva, MD
10 Tihoreсkaya Str., 450106, Ufa
Disclosure of interest:
Not declared
Klara Z. Bahtiyarova
Bashkir State Medical University
Russian Federation
Disclosure of interest:
Russian Federation
Klara Z. Bahtiyarova, MD, PhD, Professor
3 Lenina Str., 450008, Ufa
Disclosure of interest:
Not declared
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Review
For citations:
Akhmetgaleeva N.F., Yausheva E.M., Bahtiyarova K.Z. Central Pontine Myelinolysis in a Child: Clinical Case. Pediatric pharmacology. 2021;18(6):492-497. (In Russ.) https://doi.org/10.15690/pf.v18i6.2344
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