알코올중독에서 소뇌운동실조를 동반한 중심성 뇌교 수초용해증 1례： 확산텐서영상으로 증명한 뇌교-소뇌 경로의 왈러퇴행

Cerebellar Ataxia with Central Pontine Myelinolysis in Alcoholism, Case Report：Wallerian Degeneration of Ponto-Cerebellar Tract Demonstrated by Diffusion Tensor Imaging

Central pontine myelinolysis (CPM) is a rare neurologic complication that occurs in chronic alcoholics. Cerebellar ataxia, caused by the Wallerian degeneration of ponto-cerebellar tract, has never become a cardinal symptom in CPM. Authors report a case of cerebellar ataxia with CPM in a 40-year-old female chronic alcoholics. Magnetic resonance imaging (MRI) revealed a central pontine lesion with no visible lesions of middle cerebellar peduncles, which does not match with cerebellar ataxia. In this article, authors suggest the possibility that Wallerian degeneration of ponto-cerebellar tract can be detected by diffusion tension imaging technique.