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Hyponatremic osmotic demyelination (3)

T2-weighted MRI in a 41-year-old woman who presented with acute parkinsonism following slow correction of hyponatremia resulting from repeated vomiting. MRI of the pons showed no abnormality. (Source: Sajith J, Ditchfield A, Katifi HA. Extrapontine myelinolysis presenting as acute parkinsonism. BMC Neurol 2006;6:33. Creative Commons Attribution license [CC BY], https://creativecommons.org/licenses/by/2.0.)

Associated Disorders

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