Osmotic demyelination syndrome
60 year old female patient - suspected of "Metabolic Encephalopathy"
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MRI brain reveals central pontine hyperintensity on T2/ FLAIR.
In addition there is symmetric hyperintensity of the thalami and caudate nuclei and the lentiforms.
MRI Diagnosis is - Osmotic Demyelination Syndrome (Central pontine and Extra-pontine Myelinolysis).
Cerebellum and the rest of the cortex and subcortical white matter is normal.
Patient was detected to be having hyponatremia with subsequent correction 2 weeks ago.
There is no diffusion restriction.