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Movement disorders as sequelae of central pontine myelinolysis: report of three cases.
Authors:D M Maraganore  W N Folger  J W Swanson  J E Ahlskog
Institution:Department of Neurology, Mayo Clinic, Rochester, MN 55905.
Abstract:In three survivors of central pontine myelinolysis, dystonia (in two patients) and rest tremor (in one) were sequelae. The onset of these movements occurred 3 weeks to 5 months after the initial presentation with central pontine myelinolysis. Magnetic resonance imaging revealed basal ganglia lesions suggestive of extra-pontine myelinolysis in all three patients. We propose that the movement disorders seen in our cases are clinical correlates of extra-pontine myelinolysis.
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