Síndrome de desmielinización osmótica. Presentación de un caso y revisión de tema

  • Edilberto Elías Núñez Cabarcas Universidad Pontificia Bolivariana
  • Alex Ramírez Rincón Hospital Pablo Tobón Uribe
  • Leonardo Moreno Gómez Hospital Pablo Tobón Uribe
Palabras clave: mielinólisis pontino central, hiponatremia, sodio, manifestaciones neurológicas.

Resumen

El síndrome de desmielinización osmótica es una complicación neurológica poco frecuente. Se ha descrito, principalmente en pacientes que se les realiza correcciones rápidas en sus niveles de sodio sérico, por lo cual, siempre se debe ser cauto a la hora de corregir trastornos hidroelectrolíticos en los pacientes que consultan al servicio de urgencia. Sin embargo, se han reportado casos asociados de desmielinización osmótica sin correcciones de hiponatremias, por lo que se debe tener un bajo umbral diagnóstico para sospecharlo, por las consecuencias neurológicas asociadas y la ausencia de tratamiento efectivo. A continuación presentamos un caso clínico de una paciente que presentó un episodio de desmielinización osmótica extrapontica al parecer sin secuelas. Adicionalmente se hace una revisión completa del tema.

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Biografía del autor/a

Edilberto Elías Núñez Cabarcas, Universidad Pontificia Bolivariana

Médico residente de medicina Interna. Sección de posgrados. Universidad Pontificia Bolivariana. Medellín, Colombia.

Alex Ramírez Rincón, Hospital Pablo Tobón Uribe

Médico internista. Unidad de medicina interna, Hospital Pablo Tobón Uribe. Medellín, Colombia.

Leonardo Moreno Gómez, Hospital Pablo Tobón Uribe

Médico Neurólogo. Unidad de neurología, Hospital Pablo Tobón Uribe. Medellín, Colombia.

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Cómo citar
1.
Núñez Cabarcas EE, Ramírez Rincón A, Moreno Gómez L. Síndrome de desmielinización osmótica. Presentación de un caso y revisión de tema. Med. Lab. [Internet]. 1 de noviembre de 2013 [citado 29 de enero de 2023];19(11-12):577-90. Disponible en: https://medicinaylaboratorio.com/index.php/myl/article/view/254
Publicado
2013-11-01
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