Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report
- Title
- Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report
- Other Titles
- 고혈당에 의한 삼투압성 탈수초화 증후군 환자의 연속 자기공명영상 소견: 증례 보고
- Author
- 박노혁
- Keywords
- Demyelinating Diseases; Hyperglycemia; Magnetic Resonance Imaging
- Issue Date
- 2020-01
- Publisher
- 대한영상의학회
- Citation
- 대한영상의학회지, v. 81, no. 1, page. 243-247
- 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. 우리는 이전까지 드물게 보고된 고혈당 관련 삼투압성 탈수초화 증후군의 연속 자기공명영상 소견을 보고하고자 한다. 당뇨병을 앓고 있는 61세 남자 환자가 전신쇠약과 심한갈증을 주소로 내원하였고 며칠 후 구음장애, 삼킴장애, 운동조절장애를 보였다. 혈액검사상 고혈당을 제외한 전해질 수치는 정상이었다. 뇌 자기공명영상에는 교뇌에서 대칭적이고 종괴 효과가 없으며 주변 부위를 침범하지 않는 T2 신호 이상이 보여 삼투압성 탈수초화 증후군에 합당한 소견이었다. 환자는 임상적인 증상의 호전을 보였으나 추후 촬영한 뇌 자기공명영상은 악화되는 소견을 보였다.
- URI
- https://jksronline.org/DOIx.php?id=10.3348/jksr.2020.81.1.243https://repository.hanyang.ac.kr/handle/20.500.11754/161949
- ISSN
- 1738-2637; 2288-2928
- DOI
- 10.3348/jksr.2020.81.1.243
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
- Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome A Case Report.pdfDownload
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