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Peripheral high FLAIR signals within the central pons consistent with central pontine myelinolysis (MRI)

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This 40-year-old woman with chronic alcoholism presented with intractable headache for 3 days and progressively worsening unsteady gait requiring a wheelchair to ambulate. Electrolyte levels were normal. Central pontine myelinolysis and extrapontine myelinolysis were attributed to alcohol withdrawal. Other MRI sequences (not shown) showed heterogenous high-T2 signal abnormality within the central pons, extending into the bilateral cerebral peduncles and the medullary pyramids. Source: (Source: Jamil M, Salam A, Joseph Benher BM, Rehman S, Jamil J, Suleyman G. A case of alcohol withdrawal-induced central and extrapontine myelinolysis. Cureus 2023;15[7]:e41640. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0.)