Osmotic demyelination syndrome

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Electrolyte disturbance.

Patient Data

Age: 40 years

Ill-defined T2/FLAIR/DWI hyperintensity in the pons and bilateral putamina.
Focal T2/FLAIR hyperintensity in subcortical white matter of right frontal lobe consistent with a chronic lacunar infarct.

Case Discussion

Findings with their location and clinical history are characteristic of osmotic demyelination syndrome.

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