Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated?
Our case report presents a patient with central pontine myelinolysis and arachnoidocele. He was hospitalized twice these 2 last months for a confusional syndrome associated to an alteration of his general health where metabolic disorders where found: a hyponatremia at 125 mmol/l that was quickly cor...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322005362 |
| _version_ | 1817998633433300992 |
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| author | M.R. Cherkaoui Jaouad, MD C. Amrani, MD M. Mahi N. Bouknani |
| author_facet | M.R. Cherkaoui Jaouad, MD C. Amrani, MD M. Mahi N. Bouknani |
| author_sort | M.R. Cherkaoui Jaouad, MD |
| collection | DOAJ |
| description | Our case report presents a patient with central pontine myelinolysis and arachnoidocele. He was hospitalized twice these 2 last months for a confusional syndrome associated to an alteration of his general health where metabolic disorders where found: a hyponatremia at 125 mmol/l that was quickly corrected and a hypoglycemia at 0.30 g/l. A central pontine myelinolysis was found as an iso-signal on T1-weighted sequences and a hypersignal on T2-weighted and FLAIR sequences on magnetic resonnance imaging. Central pontine myelinolysis lesions did not enhance with contrast. Incidental imaging findings of arachnoidocele was detected. Through this case, we would like to share with the other practitioners these rare images and the consequence of a diagnostic delay. Indeed, hyponatremia in our patient could be the consequence of the intrasellar arachnoidocele and the overly rapid correction of this chronic hyponatremia caused central pontine myelinolysis, or it is an accidental phenomenon where we found both lesions. |
| first_indexed | 2024-04-14T02:55:22Z |
| format | Article |
| id | doaj.art-120578c39baf4866b8eee1fbd9670adc |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-14T02:55:22Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-120578c39baf4866b8eee1fbd9670adc2022-12-22T02:16:06ZengElsevierRadiology Case Reports1930-04332022-10-01171036163619Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated?M.R. Cherkaoui Jaouad, MD0C. Amrani, MD1M. Mahi2N. Bouknani3Corresponding author.; Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Bld Mohammed Taïeb Naciri, Commune Hay Hassani 82 403, Casablanca, MoroccoCheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Bld Mohammed Taïeb Naciri, Commune Hay Hassani 82 403, Casablanca, MoroccoCheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Bld Mohammed Taïeb Naciri, Commune Hay Hassani 82 403, Casablanca, MoroccoCheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Bld Mohammed Taïeb Naciri, Commune Hay Hassani 82 403, Casablanca, MoroccoOur case report presents a patient with central pontine myelinolysis and arachnoidocele. He was hospitalized twice these 2 last months for a confusional syndrome associated to an alteration of his general health where metabolic disorders where found: a hyponatremia at 125 mmol/l that was quickly corrected and a hypoglycemia at 0.30 g/l. A central pontine myelinolysis was found as an iso-signal on T1-weighted sequences and a hypersignal on T2-weighted and FLAIR sequences on magnetic resonnance imaging. Central pontine myelinolysis lesions did not enhance with contrast. Incidental imaging findings of arachnoidocele was detected. Through this case, we would like to share with the other practitioners these rare images and the consequence of a diagnostic delay. Indeed, hyponatremia in our patient could be the consequence of the intrasellar arachnoidocele and the overly rapid correction of this chronic hyponatremia caused central pontine myelinolysis, or it is an accidental phenomenon where we found both lesions.http://www.sciencedirect.com/science/article/pii/S1930043322005362MRIMagnetic resonance imagingEmpty sellaIntrasellar arachnoidoceleCentral pontine myelinolysisHyponatremia |
| spellingShingle | M.R. Cherkaoui Jaouad, MD C. Amrani, MD M. Mahi N. Bouknani Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated? Radiology Case Reports MRI Magnetic resonance imaging Empty sella Intrasellar arachnoidocele Central pontine myelinolysis Hyponatremia |
| title | Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated? |
| title_full | Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated? |
| title_fullStr | Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated? |
| title_full_unstemmed | Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated? |
| title_short | Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated? |
| title_sort | rare association of central pontine myelinolysis with intrasellar arachnoidocele casual or correlated |
| topic | MRI Magnetic resonance imaging Empty sella Intrasellar arachnoidocele Central pontine myelinolysis Hyponatremia |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322005362 |
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