Central pontine myelinolysis
Diagnosis possible
Updates to Case Attributes
Body
was changed:
Unknown history.
Note how the signal abnormality crosses the mid-line making ischaemia unlikely, as the pontine perforators are end arteries whichUnfortunately I do not crosshave evidence supporting the mid-linediagnosis central pontine myelinolysis. Nonetheless in a patient with cerebellar atrophy this is the likely diagnosis.
-<p>Unknown history.</p><p>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.</p>- +<p>Unfortunately I do not have evidence supporting the diagnosis <a title="Central pontine myelinolysis (CPM)" href="/articles/central-pontine-myelinolysis-2">central pontine myelinolysis</a>. Nonetheless in a patient with cerebellar atrophy this is the likely diagnosis. </p>
Presentation
was added:
History unknown.
Age
was set to
Elderly. .
Diagnostic Certainty
was set to
.
Updates to Study Attributes
Updates to Study Attributes
Findings
was changed:
NoteHigh 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.
Images Changes:
Image 3 MRI (FLAIR) ( update )
Position
was set to
.
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