OSMOTIC MYELINOLYSIS ASSOCIATED WITH PSYCHOGENIC POLYDIPSY: CASE REPORT
To report a very rare case of extrapontine osmotic myelinolysis with a predominantly subcortical pattern. Case description: Patient with psychogenic polydipsia evolving with hyponatremia, correction of serum sodium levels and consequent episode of alteration in the level of consciousness. Years later, magnetic resonance imaging showed lesions characteristic of extrapontine OM. Conclusion: As the clinical presentation of OM is nonspecific and the radiological aspect can be characteristic, knowing the different imaging patterns is of paramount importance to narrow the differential diagnosis for the different professionals who may encounter this type of disease.
OSMOTIC MYELINOLYSIS ASSOCIATED WITH PSYCHOGENIC POLYDIPSY: CASE REPORT
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DOI: 10.22533/at.ed.1593312324044
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Palavras-chave: Extrapontine myelinolysis. Psychogenic Polydipsia. Magnetic Resonance Imaging
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Keywords: Extrapontine myelinolysis. Psychogenic Polydipsia. Magnetic Resonance Imaging
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Abstract:
To report a very rare case of extrapontine osmotic myelinolysis with a predominantly subcortical pattern. Case description: Patient with psychogenic polydipsia evolving with hyponatremia, correction of serum sodium levels and consequent episode of alteration in the level of consciousness. Years later, magnetic resonance imaging showed lesions characteristic of extrapontine OM. Conclusion: As the clinical presentation of OM is nonspecific and the radiological aspect can be characteristic, knowing the different imaging patterns is of paramount importance to narrow the differential diagnosis for the different professionals who may encounter this type of disease.
- Douglas Marques Zaratini
- Franklin de Freitas Tertulino
- Alex Soares de Souza
