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Osmotic demyelination syndrome due to rhabdomyolysis and hyperosmolar hyperglycemic syndrome following cardiogenic shock (FLAIR, day 10)

FLAIR MRI in 51-year-old man on day 10 after cardiogenic shock revealed only symmetrical hyperintensity in the putamen and posterior limb of the internal capsule (arrow) on FLAIR images. (Source: Katano K, Fuse N, Asano Y, et al. Osmotic demyelination syndrome due to rhabdomyolysis and hyperosmolar hyperglycemic syndrome following cardiogenic shock. Case Rep Crit Care 2021;2021:8083731. Copyright © 2021 Kosuke Katano, et al. Creative Commons Attribution license [CC BY], https://creativecommons.org/licenses/by/2.0.)

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Associated Disorders

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