Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report
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 examination...
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| Published in | Journal of the Korean Society of Radiology Vol. 81; no. 1; pp. 243 - 247 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
The Korean Society of Radiology
2020
대한영상의학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1738-2637 2288-2928 2951-0805 |
| DOI | 10.3348/jksr.2020.81.1.243 |
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| 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. |
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| AbstractList | 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. 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. KCI Citation Count: 0 |
| Author | Kim, Seon-Jeong Park, Noh Hyuck Park, Ji Yeon Kim, Jong Hyuk |
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| References | Rodríguez-Velver (10.3348/jksr.2020.81.1.243_ref8) 2014; 2014 Burns (10.3348/jksr.2020.81.1.243_ref2) 2009; 11 Adams (10.3348/jksr.2020.81.1.243_ref3) 1959; 81 Linyu (10.3348/jksr.2020.81.1.243_ref9) 2017; 16 Hirosawa (10.3348/jksr.2020.81.1.243_ref5) 2018; 85 Chang (10.3348/jksr.2020.81.1.243_ref7) 2014; 2 O'Malley (10.3348/jksr.2020.81.1.243_ref1) 2008; 45 Martin (10.3348/jksr.2020.81.1.243_ref4) 2004; 75 Suppl 3 Saini (10.3348/jksr.2020.81.1.243_ref6) 2015; 56 Osborn (10.3348/jksr.2020.81.1.243_ref10) 2015 |
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| SubjectTerms | demyelinating diseases hyperglycemia magnetic resonance imaging Neuroradiology & Neurointervention 방사선과학 |
| Title | Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report |
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