EURORAD ESR

Case 11799

A rare case of Wernicke’s encephalopathy and central pontine myelinolysis induced by hyperemesis gravidarum

Author(s)
Sekhar K S, Saravana Kumar S, Malathi V, Parveen Sulthana M

Billroth Hospitals,
Department of Radiology;
Lakshmi Talkies Road,
Shenoy Nagar
600 030 Chennai, India;
Email:drspjkmc@gmail.com
 
Patient
female, 19 year(s)
 
 
  • Figure 1
    MRI

    Axial diffusion weighted MR image shows increased signal in bilateral posteromedial thalami.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
  • Figure 2
    MRI

    Axial T2W MR image shows hyperintense signal in bilateral posteromedial thalami.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
  • Figure 3
    MRI

    Axial FLAIR MR image shows hyperintense signal in bilateral mammillary bodies and periaqueductal grey matter.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
  • Figure 4
    Follow-up MRI

    Axial FLAIR MR image shows T2W hyperintense signal in the central pons, relatively sparing the periphery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
  • Figure 5
    Follow-up MRI

    Axial T2W MR image shows T2W hyperintense signal in the central pons, relatively sparing the periphery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
  • Figure 6
    Follow-up MRI

    Axial DWI MR image shows patchy areas of hyperintense signal in the central pons.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
  • Figure 7
    Follow-up MRI

    Corresponding axial ADC MR image shows patchy areas of restricted diffusion in the central pons.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
Axial diffusion weighted MR image shows increased signal in bilateral posteromedial thalami.
 
Axial T2W MR image shows hyperintense signal in bilateral posteromedial thalami.
 
Axial FLAIR MR image shows hyperintense signal in bilateral mammillary bodies and periaqueductal grey matter.
 
Axial FLAIR MR image shows T2W hyperintense signal in the central pons, relatively sparing the periphery.
 
Axial T2W MR image shows T2W hyperintense signal in the central pons, relatively sparing the periphery.
 
Axial DWI MR image shows patchy areas of hyperintense signal in the central pons.
 
Corresponding axial ADC MR image shows patchy areas of restricted diffusion in the central pons.
 
 
 
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