E. V. Isakova, E. A. Stepanova, S. V. Kotov, Yu. A. Belova
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Osmotic demyelination syndrome: central pontine and extrapontine myelinolysis in a patient in the early postpartum period. Clinical observation
The article presents a review of the literature and a description of a clinical case of osmotic demyelination syndrome manifested by pontine and extrapontine myelinolysis in a 36-year-old woman after her third surgical preterm delivery. The reasons for the development of a demyelinating lesion of the central nervous system are discussed, and clinical cases described in world literature sources are presented. An analysis of the pathogenesis of the development of this disease in women during pregnancy, childbirth, and lactation is provided. The importance of this period in a woman's life as an independent significant risk factor for the development of osmotic demyelination syndrome is discussed.
期刊介绍:
The journal’s chief mission is the postgraduate training of neurologists and psychiatrists through dissemination of current knowledge, new medical technologies and advances, the integration to the global scientific process, and the qualitative representation of achievements of global and Russian science. The journal “Nevrologiya, Neiropsikhiatriya, Psikhosomatika” publishes original articles dedicated to the practical and theoretical issues of neurological, mental, and psychosomatic diseases, conducted clinical, clinical-and-experimental studies and basic researches, as well as reviews, lectures, case reports, and ancillary materials on all relevant problems of neurology and psychiatry, including information on congresses, symposia, and new books. The journal is intended for a wide range of neurologists, psychiatrists, neuropsychologists, and specialists of related occupations.