Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report
We report a rare case of hyperglycemia-related osmotic demyelination syndrome (ODS) with focus on the imaging findings. A 61-year-old man with diabetes was admitted for general weakness and severe thirst. A few days later, he complained of dysarthria, dysphasia, and dysmetria. Laboratory examinat...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2020-01-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2020.81.1.243 |
| Summary: | We report a rare case of hyperglycemia-related osmotic demyelination syndrome (ODS) with
focus on the imaging findings. A 61-year-old man with diabetes was admitted for general weakness
and severe thirst. A few days later, he complained of dysarthria, dysphasia, and dysmetria.
Laboratory examinations showed significant hyperglycemia, but normal electrolyte levels.
Brain MRI revealed T2-signal abnormalities that were symmetrical, non-space occupying, and
located in the central pons with a peripheral sparing pattern, which were suggestive of ODS. In
addition, subsequent MRI revealed progression of signal hyperintensity; however, the patient’s
symptoms improved. |
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| ISSN: | 1738-2637 2288-2928 |