Piglet sign (osmotic demyelination)
Updates to Article Attributes
The piglet sign is seen in central pontine myelinolysis. It refers to the appearance of the upper pons in axial T2 and FLAIR images. If theThe areas of demyelination coalescecoalescent T2 signal increase are reminiscent of a pigs snout, with other features on axial MR images resembleresembling the rest of the face of a piglet with the temporal lobes representing ears, the carotid arteries representing the eyes,represent the area of central pontine myelinosis representing snouteyes and the fourth ventricle as the mouth 1,2.
The area of abnormal T2 signal increase is perhaps better known as the trident sign.
-<p>The piglet sign is seen in <a href="/articles/central-pontine-myelinolysis-2">central pontine myelinolysis</a>. It refers to appearance of upper pons in axial T2 and FLAIR images. If the areas of demyelination coalesce, axial MR images resemble the face of a piglet with the temporal lobes representing ears, the carotid arteries representing the eyes, the area of central pontine myelinosis representing snout and the fourth ventricle as the mouth <sup>1</sup>.</p>- +<p>The <strong>piglet sign</strong> is seen in <a href="/articles/central-pontine-myelinolysis-2">central pontine myelinolysis</a>. It refers to the appearance of the upper pons in axial T2 and FLAIR images. The areas of coalescent T2 signal increase are reminiscent of a pigs snout, with other features on axial MR images resembling the rest of the face of a piglet with the temporal lobes representing ears, the carotid arteries represent the eyes and the fourth ventricle as the mouth <sup>1,2</sup>.</p><p>The area of abnormal T2 signal increase is perhaps better known as the <a title="Trident sign (CNS)" href="/articles/trident-sign-cns">trident sign</a>. </p>
References changed:
- 1. Judith Wagner, Stefanie Mueller-Schunk, Christoph Schankin. The Piglet Sign: MRI Findings in Central Pontine Myelinolysis. (2016) Clinical Neuroradiology. 18 (3): 191. <a href="https://doi.org/10.1007/s00062-008-8025-5">doi:10.1007/s00062-008-8025-5</a>
- 2. Beh SC. Temporal evolution of the trident and piglet signs of osmotic demyelination syndrome. (2017) Journal of the neurological sciences. 373: 268-273. <a href="https://doi.org/10.1016/j.jns.2017.01.024">doi:10.1016/j.jns.2017.01.024</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/28131203">Pubmed</a> <span class="ref_v4"></span>
- 1. Judith Wagner, Stefanie Mueller-Schunk, Christoph Schankin. The Piglet Sign: MRI Findings in Central Pontine Myelinolysis. (2016) Clinical Neuroradiology. 18 (3): 191. <a href="https://doi.org/10.1007/s00062-008-8025-5">doi:10.1007/s00062-008-8025-5</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/26811110">Pubmed</a> <span class="ref_v4"></span>