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Institute of Pathology (Dr. Zwick) and the Division of Neuropathology (Dr. Roessmann), Case Western Reserve University, Cleveland, OH; and the Department of Neuropathology (Dr. Friede), University of Göttingen, Göttingen, Federal Republic of Germany.
A midline lesion of the funiculus gracilis was found in four patients with histories of alcoholism, nutritional disturbance, and repeated episodes of electrolyte imbalance. Histologic and anatomic abnormalities were similar to those of central pontine myelinolysis. Sodium imbalance may play a role in the pathogenesis of both conditions.
Address correspondence and reprint requests to Dr. Roessmann, Division of Neuropathology, Institute of Pathology, Case Western Reserve University, 2085 Adelbert Road, Cleveland, OH 44106.
Accepted for publication October 3, 1984.
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