AYURVEDIC UNDERSTANDING OF CENTRAL PONTINE MYELINOLYSIS - A CASE REPORT

  • Anoop A.S Final Year Post Graduate Scholar, Department of Kayachikitsa, Sri Dharmasthala Majunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.
  • Lakshmiprasad L Jadhav Professor & HOD, Department of Kayachikitsa, Sri Dharmasthala Majunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.
  • Sruthy Nair Final Year Post Graduate Scholar, Department of Kayachikitsa, Sri Dharmasthala Majunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.
  • Rohan Mohandas First Year Post Graduate Scholar, Department of Kayachikitsa, Sri Dharmasthala Majunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.

Abstract

A 56 year old male patient was admitted to S.D.M Ayurveda Hospital, Hassan, Karnataka with the confirmed diagnosis of Central Pontine Myelinolysis (CPM) on 11/12/17. The chief complaints were weakness of both hands and legs, stiffness in both hands and legs, pain in both shoulder joints, slurred speech, difficulty in walking with gait changes. H/O chronic alcoholism. MRI brain showed pontine and basal ganglia diffusion restriction - Acute Pontine Myelinolysis. The serum electrolyte showed serum sodium level as 128 mmol/litre. This disease can be understood as Samana Avruta Vyana  in hyponatremic encephalopathy stage  and the stage of myelinolysis can be understood as Sarvanga Vata with Kapha Avruta Udana and Vyana. After clinical evaluation, Avarana Chikitsa was started followed by Kevala Vatika Chikitsa and significant improvement was seen. Significant result was observed in subjective and objective parameters after the treatment. The patient was discharged with oral medications for 1 month.

Published
2018-07-07
How to Cite
A.S, Anoop et al. AYURVEDIC UNDERSTANDING OF CENTRAL PONTINE MYELINOLYSIS - A CASE REPORT. Journal of Ayurveda and Integrated Medical Sciences (ISSN 2456-3110), http://www.jaims.in/index.php/jaims/pages/view/Citation, v. 3, n. 3, p. 250 - 253, july 2018. ISSN 2456-3110. Available at: <http://jaims.in/index.php/jaims/article/view/537>. Date accessed: 20 aug. 2018. doi: https://doi.org/10.21760/jaims.v3i3.12900.
Section
Case Study