MRI of Central Pontine Myelinolysis

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This axial (cross-sectional) MRI image of the brain shows a prominent region of abnormal increased T2 signal (looks white) within the central portion of the brainstem at the level of the pons. This occurred in an alcohohic person who went into a deep coma. This represents central pontine myelinolysis (CPM or osmotic demyelination). This entity is known to occur in malnourished alcoholic people but can also occur in individuals who are hyponaetremic and in whom their serum sodium is corrected too rapidly.

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