Amiddleagedmanwitha
2021-11-30 来源：不详 浏览次数：次Amiddle-agedmanwithalteredmentalstatus
A
B
Whatisyourdiagnosis?
TheanswerisOsmoticDemyelinationSyndrome:ExtrapontineandCentralPontineMyelinolysis
Osmoticdemyelinationsyndromereferstoacutedemyelinationcausedbyrapidshiftsintheserumosmoticgradient,oftencausedbyiatrogeniccorrectionofhyponatremia,asinthiscase.Patientswithalcoholismormalnourishmentareparticularlyvulnerable.Classicextrapontineimagingfeaturesincludewell-demarcated,bilateralandsymmetricT2signalhyperintensityofthedeepgreynuclei,most
