Osmotic demyelination syndrome

Case contributed by Sajoscha A. Sorrentino
Diagnosis certain

Presentation

Altered mental status.

Patient Data

Age: 35 years
Gender: Female

Brain

mri
This study is a stack
Sagittal
T2
This study is a stack
Axial
T2
This study is a stack
Coronal
T2
This study is a stack
Sagittal
ADC
This study is a stack
Axial
ADC
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Info

T2 hyperintensity in the central pons with sparing of periphery and signal loss in the ADC maps.

Case Discussion

This patient develop symptoms following rapid correction of serum sodium after severe hyponatremia. This case demonstrates typical pontine MRI signs of osmotic demyelination syndrome.

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