Jump to content
Main menu
Main menu
move to sidebar
hide
Navigation
Main page
Recent changes
Random page
Help about MediaWiki
Special pages
Niidae Wiki
Search
Search
Appearance
Create account
Log in
Personal tools
Create account
Log in
Pages for logged out editors
learn more
Contributions
Talk
Editing
Central pontine myelinolysis
(section)
Page
Discussion
English
Read
Edit
View history
Tools
Tools
move to sidebar
hide
Actions
Read
Edit
View history
General
What links here
Related changes
Page information
Appearance
move to sidebar
hide
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
==Prognosis== Though traditionally the prognosis is considered poor, a good functional recovery is possible. All patients at risk of developing refeeding syndrome should have their electrolytes closely monitored, including sodium, potassium, magnesium, glucose and phosphate.<ref name="pmid21949915"/> Recent data indicate that the prognosis of critically ill patients may even be better than what is generally considered,<ref name="pmid22036854">{{cite journal | vauthors = Louis G, Megarbane B, LavouΓ© S, Lassalle V, Argaud L, Poussel JF, Georges H, Bollaert PE | display-authors = 6 | title = Long-term outcome of patients hospitalized in intensive care units with central or extrapontine myelinolysis* | journal = Critical Care Medicine | volume = 40 | issue = 3 | pages = 970β972 | date = March 2012 | pmid = 22036854 | doi = 10.1097/CCM.0b013e318236f152 | s2cid = 205542487 }}</ref> despite severe initial clinical manifestations and a tendency by the intensivists to underestimate a possible favorable evolution.<ref name="pmid22343870">{{cite journal | vauthors = Young GB | title = Central pontine myelinolysis: a lesson in humility* | journal = Critical Care Medicine | volume = 40 | issue = 3 | pages = 1026β1027 | date = March 2012 | pmid = 22343870 | doi = 10.1097/CCM.0b013e31823b8e0b }}</ref> While some patients die, most survive and of the survivors, approximately one-third recover; one-third are disabled but are able to live independently; one-third are severely disabled.<ref name="pmid16210283">{{cite journal | vauthors = Abbott R, Silber E, Felber J, Ekpo E | title = Osmotic demyelination syndrome | journal = BMJ | volume = 331 | issue = 7520 | pages = 829β830 | date = October 2005 | pmid = 16210283 | pmc = 1246086 | doi = 10.1136/bmj.331.7520.829 }}</ref> Permanent disabilities range from minor tremors and [[ataxia]] to signs of severe brain damage, such as [[spastic quadriparesis]] and [[locked-in syndrome]].<ref>{{cite web| vauthors = Luzzio C |title=Central Pontine Myelinolysis|url=http://emedicine.medscape.com/article/1174329-overview|website=Medscape|access-date=14 March 2017|date=17 November 2015}}</ref> Some improvements may be seen over the course of the first several months after the condition stabilizes.{{citation needed|date=July 2021}} The degree of recovery depends on the extent of the original axonal damage.<ref name="pmid12566274"/>
Summary:
Please note that all contributions to Niidae Wiki may be edited, altered, or removed by other contributors. If you do not want your writing to be edited mercilessly, then do not submit it here.
You are also promising us that you wrote this yourself, or copied it from a public domain or similar free resource (see
Encyclopedia:Copyrights
for details).
Do not submit copyrighted work without permission!
Cancel
Editing help
(opens in new window)
Search
Search
Editing
Central pontine myelinolysis
(section)
Add topic