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MRI brain reveals central pontine hyperintensity on T2/FLAIR.
In addition there is symmetric hyperintensity of the thalami, caudate nuclei and the lentiform nuclei. There is no diffusion restriction.
Cerebellum and the rest of the cortex and subcortical white matter are normal.
Conclusion:
Suspicion of osmotic demyelination syndrome (central pontine and extrapontine myelinolysis).