Presentation
Recently admitted to high dependency unit with severe hyponatremia. Sodium was corrected over 7 days from 100 to 136. Drowsy, dropping sats, recent fall.
Patient Data
Age: 45 years
Gender: Male
From the case:
Osmotic demyelination syndrome
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Rounded, central low density area in the pons is relatively well demarcated and measures 2.6 cm x 2.2 cm. No evidence of intracranial bleed. No extra-axial hemorrhage. No significant mass effect. Ventricular system and basal cisterns remain within normal limits.
Conclusion: low density change in the pons. Consistent with osmotic demyelination, given the patient's history and presentation.
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