Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report
10.3348/jksr.2020.81.1.243
- Author:
Jong Hyuk KIM
1
;
Noh Hyuck PARK
;
Ji Yeon PARK
;
Seon Jeong KIM
Author Information
1. Department of Radiology, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea. nhpark@mjh.or.kr
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2020;81(1):243-247
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
