Demographics:
55 years old, Male
Indication:
Weakness, gait instability
Findings
- T2/FLAIR signal hyperintensity and restricted diffusion in the central pons with peripheral sparing and no associated mass effect
- No associated enhancement
- No evidence of acute hemorrhage or hydrocephalus
Diagnosis
Osmotic demyelination
Sample Report
T2/FLAIR signal hyperintensity and restricted diffusion in the central pons without associated mass effect or enhancement, which is primarily concerning for osmotic demyelination (central pontine myelinolysis). Recommend correlation with serum sodium measurements.
Discussion