Paroxysmal painful spasms associated with central pontine myelinolisis in the context of nonketotic hyperglycemia

•Paroxysmal painful spasms might be associated with central pontine myelinolisis.•Central pontine myelinolisis may be due to hyperglycemic states.•Central pontine myelinolisis may cause acute-onset movement disorders.•Prompt recognition and treatment of acute-onset movement disorders are mandatory....

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Veröffentlicht in:	Journal of the neurological sciences 2018-05, Vol.388, p.37-39
Hauptverfasser:	Marsili, Luca, Gallerini, Simone, Bartalucci, Manuele, Marotti, Caterina, Marconi, Roberto
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute-onset movement disorders Central pontine myelinolysis Diabetes Complications Diabetes Mellitus - diagnosis Diabetes Mellitus - drug therapy Diabetes Mellitus - physiopathology Diagnosis, Differential Humans Hyperglycemia - complications Hyperglycemia - diagnosis Hyperglycemia - drug therapy Hyperglycemia - physiopathology Male Middle Aged Myelinolysis, Central Pontine - diagnosis Myelinolysis, Central Pontine - drug therapy Myelinolysis, Central Pontine - etiology Myelinolysis, Central Pontine - physiopathology Nonketotic hyperglycemia Pain - diagnosis Pain - drug therapy Pain - etiology Pain - physiopathology Paroxysmal painful spasms Spasm - diagnosis Spasm - drug therapy Spasm - etiology Spasm - physiopathology
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Zusammenfassung:	•Paroxysmal painful spasms might be associated with central pontine myelinolisis.•Central pontine myelinolisis may be due to hyperglycemic states.•Central pontine myelinolisis may cause acute-onset movement disorders.•Prompt recognition and treatment of acute-onset movement disorders are mandatory.
ISSN:	0022-510X 1878-5883
DOI:	10.1016/j.jns.2018.03.005