Presentation
Seizures, ethanol dependence, and mild hyponatremia.
Patient Data
Age: 60-year-old
Gender: Female
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Axial T2
Central pontine T2 hyperintensity and diffusion restriction with "trident" configuration, with peripheral sparing, consistent with osmotic demyelination.
Severe supratentorial chronic ischemic change.
Case Discussion
Central pontine osmotic demyelination with the "trident sign".
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