Treatment of central pontine myelinolysis with thyrotropin-releasing hormone.

Presse Med

Internal Medicine Department, Saint-Joseph Hospital and Medical Center, Saint-Joseph University, Beirut, Lebanon.

Published: April 2006

Introduction: Central pontine myelinolysis (CPM), demyelination of the brain stem, is a brain injury apparently due to osmotic forces. There is no consensus for its treatment.

Case: We describe here a case of CPM that occurred in a young patient after correction of hyponatremia, its treatment by intravenous thyrotropin-releasing hormone, and its outcome.

Discussion: Although very few instances of thyrotropin-releasing hormone treatment for CPM have been described, it appears to be effective and well tolerated. Studies are needed to assess its real efficacy.

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Source
http://dx.doi.org/10.1016/s0755-4982(06)74651-6DOI Listing

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