EURORAD ESR

Case 15629

Pontine and extrapontine osmotic Demyelination Syndrome

Author(s)
Navarro-Baño, Antonio; Bañón-García, Inmaculada; Orcajada-Zamora, Víctor; Ortuño-Moreno, María Isabel; Guillén-Navarro, Jose María.

Hospital Clinico Universitario Virgen de la Arrixaca , Servicio Murciano de Salud; Carretera Madrid-Cartagena, s/n. 30120 El Palmar, Spain; Email:navarba@gmail.com
 
Patient
male, 52 year(s)
 
 
  • Figure 1
    Fig.1. Axial FLAIR

    On T2 sequences there is a diffuse hyperintensity of the pons.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebral palsy;
     
     
  • Figure 2
    Fig.2. Axial T2WI

    On T2 sequences there is a diffuse hyperintensity of the pons

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebral palsy;
     
     
  • Figure 3
    Fig.3. Axial T1WI.

    Respect for the normal signal intensity in the region of the cortico-spinal tracts.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebral palsy;
     
     
  • Figure 4
    Fig.4. Coronal FLAIR.

    Pontine and extra-pontine myelinolysis

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebral palsy;
     
     
  • Figure 5
    Fig.5. DWI.

    DWI hyperintensity of all the pons (minimum respect of the most posterior portions).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebral palsy;
     
     
On T2 sequences there is a diffuse hyperintensity of the pons.
 
On T2 sequences there is a diffuse hyperintensity of the pons
 
Respect for the normal signal intensity in the region of the cortico-spinal tracts.
 
Pontine and extra-pontine myelinolysis
 
DWI hyperintensity of all the pons (minimum respect of the most posterior portions).
 
 
 
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