Central pontine myelinolysis

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Deterioration of conscious level

Patient Data

Age: 60 years
Gender: Male
mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T1 C+
This study is a stack
Sagittal
T1 C+
This study is a stack
Coronal
T1 C+
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Info

Abnormal signal intensity at central pons sparing the anterolateral regions (pyramidal tract) and displays bright signal in T2 and FLAIR, low signal in T1 with no enhancement after contrast administration.

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