Osmotic demyelination syndrome
MRI brain reveals central pontine hyperintensity on T2/ FLAIR.
In addition there is symmetric hyperintensity of the thalami and caudate nuclei and the lentiforms.
MRI Diagnosis is - Osmotic Demyelination Syndrome (Central pontine and Extra-pontine Myelinolysis).
Cerebellum and the rest of the cortex and subcortical white matter is normal.
Patient was detected to be having hyponatremia with subsequent correction 2 weeks ago.
There is no diffusion restriction.