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Journal of Neurology, Neurosurgery, and Psychiatry, 1993, Vol 56, 1221-1223

PAPERS

Dystonia in central pontine myelinolysis without evidence of extrapontine myelinolysis

SM Salerno, R Kurlan, SE Joy and I Shoulson
Department of Neurology, University of Rochester School of Medicine, New York 14642-8673.

A 44-year-old female is described who developed persistent upper extremity and orolingual dystonia several weeks after suspected onset of central pontine myelinolysis (CPM), later confirmed by characteristic pontine lesions on MRI. No foci of the extrapontine myelinolysis were evident. This case confirms that dystonia may be a late and persistent sequela of CPM and may occur in the absence of visible lesions outside the brainstem.

© 1993 by Journal of Neurology, Neurosurgery, and Psychiatry





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