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Central pontine myelinolysis

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Deterioration of conscious level

Patient Data

Age: 60 years
Gender: Male
mri

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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