Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report.
Jong Hyuk KimNoh Hyuck ParkJi Yeon ParkSeon-Jeong KimPublished in: Taehan Yongsang Uihakhoe chi (2020)
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.
Keyphrases
- magnetic resonance imaging
- rare case
- contrast enhanced
- case report
- diffusion weighted imaging
- type diabetes
- computed tomography
- diabetic rats
- cardiovascular disease
- resting state
- early onset
- functional connectivity
- physical activity
- drug induced
- mass spectrometry
- depressive symptoms
- fluorescence imaging
- brain injury