Presentation
Generalized tonic-clonic seizures while in hospital.
Patient Data
Age: 60 years
Gender: Female
From the case:
Osmotic demyelination syndrome
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Central pontine hyperintensity on T2, FLAIR and diffusion images without abnormal restriction on ADC map.
Case Discussion
This patient presented with hyponatremia correction due to SIADH evolving into generalized tonic-clonic seizures.
Clinical presentation and imaging features consistent with chronic presentation of osmotic demylination syndrome.