Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report

Authors

• J. Sharmini
• Kheng Seang LimFollow
• N. Ramli
• Chong Tin TanFollow

Document Type

Article

Publication Date

1-1-2010

Abstract

A 27 year-old Chinese man, involved in a motor vehicle accident, presented with rapidly progressive pseudobulbar palsy and spastic tetraplegia. Magnetic resonance imaging (MRI) of the brain showed central pontine T2 hyperintensity with an unaffected outer rim, consistent with central pontine myelinolysis. There was no hyponatraemia before MRI and he was neither an alcoholic nor malnourished. Cerebral angiogram confirmed the diagnosis of right vertebral artery dissection. Vertebral artery dissection should be considered in a case with imaging suggestive of central pontine myelinolysis.

Publication Title

Neurology Asia

Recommended Citation

Sharmini, J.; Lim, Kheng Seang; Ramli, N.; and Tan, Chong Tin, "Traumatic vertebral artery dissection mimicking central pontine myelinolysis: A case report" (2010). Research Publications (2006 to 2010). 4164.
https://knova.um.edu.my/research_publications_2006_2010/4164

Volume

15

Issue

2

Publisher

Asean Neurological Assoc

Publisher Location

UNIV MALAYA MEDICAL CENTRE, NEUROLOGY LABORATORY, KUALA LUMPUR, 59100, MALAYSIA