Central pontine and extrapontine myelinolysis
Patient was operated for a pituitary adenoma.
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Postoperative changes are seen in sella seen with fat packing.
Central pontine and anterior temporal hyperintensities seen suggesting myelinolysis.
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.
- 1. Central Pontine and Extrapontine Myelinolysis ; Frequent association with pituitary-adrenal axis dysfunction. Kim JS, Jeon BS, Yoon BW, Lee HB, Park SH, Na DR, Roh JK. J Korean Neurol Assoc. 1996 Jun;14(2):548-559.