Central pontine myelinolysis

Case contributed by A.Prof Frank Gaillard

Presentation

History unknown.

Patient Data

Age: Elderly
MRI

High T2 and DWI signal in the pons, sparing the periphery in a patient with atrophy, which appears more marked in the cerebellum. Note how the signal abnormality crosses the mid-line making ischaemia unlikely, as the pontine perforators are end-arteries which do not cross the mid-line.

Case Discussion

Unfortunately I do not have evidence supporting the diagnosis central pontine myelinolysis. Nonetheless in a patient with cerebellar atrophy this is the likely diagnosis. 

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Case information

rID: 2598
Case created: 7th May 2008
Last edited: 17th Sep 2015
Tag: mri
Inclusion in quiz mode: Included

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