Cortical MRI findings associated with rapid correction of hyponatremia.

Calakos, N; Fischbein, N; Baringer, J R; Jay, C · Neurology · 2000

case_report · Level V

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Abstract

The authors describe two patients with clinical manifestations of the osmotic demyelination syndrome (ODS) and unusual MRI findings of gadolinium-enhancing peripheral cortical abnormalities. They propose that these represent extrapontine manifestations of ODS because neither patient had a notable hypoxic-ischemic insult. Recognizing this imaging appearance is important because prognosis in ODS may be less uniformly grim than for hypoxia-ischemia.

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