Presentation
History of nephrotic syndrome. Admitted and treated for vomiting and dehydration. Presents with headache, blurred vision, and papilledema.
Patient Data
Age: 15 years
Gender: Female
From the case:
Osmotic demyelination syndrome
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- triangular-shaped area of T2/FLAIR hyperintense signal involving the pons and spearing the peripheral fibers.
- there is no restricted diffusion and no Gadolinium enhancement
- the cerebral cortex and subcortical white matter are normal
Case Discussion
The clinical presentation and the MRI features, are highly suggestive of osmotic demyelination syndrome.
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