Central pontine and extrapontine myelinolysis

Case contributed by Dr Prashant Gupta

Presentation

Patient was operated for a pituitary adenoma.

Patient Data

Age: 55 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Postoperative changes are seen in sella seen with fat packing.

Central pontine and anterior temporal hyperintensities seen suggesting myelinolysis.

Case Discussion

Central pontine myelinolysis and extrapontine myelinolysis have a known association with hypothalamo-pituitary dysfunction. Both conditions are now grouped under the term osmotic demyelination syndrome.

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