Central pontine myelinolysis as a cause of bilateral vocal fold immobility due to hyponatremia
Article first published online: 4 JAN 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 2, pages 332–334, February 2011
How to Cite
Górriz Gil, C., Tuñón Gómez, M., Escamilla, C., Romero Pizarro, Y., Goizueta, G., García-López, F. and García-Berrocal, J. R. (2011), Central pontine myelinolysis as a cause of bilateral vocal fold immobility due to hyponatremia. The Laryngoscope, 121: 332–334. doi: 10.1002/lary.21333
- Issue published online: 26 JAN 2011
- Article first published online: 4 JAN 2011
- Manuscript Accepted: 23 JUL 2010
- Bilateral vocal fold immobility;
We report a patient admitted with severe dyspnea due to bilateral vocal fold immobility (BVFI), associated with hyponatremia and pneumonia that required emergency tracheotomy. Cerebral magnetic resonance imaging showed a pons lesion compatible with central pontine myelinolysis. Hyponatremia is thought to be caused by hypovolemia. The hyponatremia, and not its correction, is speculated to be the cause of central pontine myelinolysis in this patient. To our knowledge, this is the first case reported of a bilateral vocal fold immobility caused by central pontine myelinolysis induced by hyponatremia. Laryngoscope, 2010.