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KMID : 1103720200810010243
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Journal of the Korean Society of Radiology
2020 Volume.81 No. 1 p.243 ~ p.247
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Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report
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Kim Jong-Hyuk
Park Noh-Hyuck
Park Ji-Yeon
Kim Seon-Jeong
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Abstract
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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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KEYWORD
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Demyelinating Diseases, Hyperglycemia, Magnetic Resonance Imaging
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