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Bilateral hyperintensity in the pons and cerebellum in osmotic demyelination syndrome (MRI)

In this 44-year-old diabetic man with osmotic demyelination syndrome, axial T2-weighted MR images show bilateral hyperintensity in the pons and cerebellum. (Source: Shrestha S, Kharel S, Gautam S, et al. Pontine and bilateral cerebellar lesion in osmotic demyelination syndrome associated with uncontrolled type II diabetes mellitus: a case report. Ann Med Surg [Lond] 2023;85[3]:477-80. Creative Commons Attribution license [CC BY],

Associated Disorders

  • Alcoholism
  • Extrapontine myelinolysis
  • Hyperosmolar hyperglycemic state
  • Hypokalemia
  • Malnutrition
  • Osmotic myelinolysis