Central Pontine Lesions Observed with MRI in Four Diabetic Patients

We report four diabetic patients with a central pontine lesion on magnetic resonance imaging (MRI). All patients also had hypertension, diabetic neuropathy and nephropathy, and three had chronic hepatitis C. Their neurological symptoms were disproportionately mild compared with the MRI features, whi...

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Veröffentlicht in:Internal Medicine 2008, Vol.47(15), pp.1425-1430
Hauptverfasser: Ichikawa, Hiroo, Murakami, Hidetomo, Katoh, Hirotaka, Hieda, Soutaro, Kawamura, Mitsuru
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container_end_page 1430
container_issue 15
container_start_page 1425
container_title Internal Medicine
container_volume 47
creator Ichikawa, Hiroo
Murakami, Hidetomo
Katoh, Hirotaka
Hieda, Soutaro
Kawamura, Mitsuru
description We report four diabetic patients with a central pontine lesion on magnetic resonance imaging (MRI). All patients also had hypertension, diabetic neuropathy and nephropathy, and three had chronic hepatitis C. Their neurological symptoms were disproportionately mild compared with the MRI features, which were of high intensity on T2-weighted images, but were less prominent on T1- and diffusion-weighted images. A subclinical pontine lesion was found in two patients who had undergone MRI previously. We consider that diabetes mellitus is an important factor for developing a pontine lesion with or without symptoms, probably in association with hepato-renal problems and hypertension.
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subjects central pontine myelinolysis
chronic hepatitis C
diabetes mellitus
Diabetes Mellitus - physiopathology
Female
Hepatitis C, Chronic - physiopathology
Humans
hypertension
Hypertension - physiopathology
Magnetic Resonance Imaging
Male
Middle Aged
Myelinolysis, Central Pontine - diagnosis
Myelinolysis, Central Pontine - epidemiology
Myelinolysis, Central Pontine - physiopathology
pontine lesion
Risk Factors
title Central Pontine Lesions Observed with MRI in Four Diabetic Patients
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