title: Normal diffusion-weighted MRI during the acute stage of central pontine myelinolysis.
abstract: Central pontine myelinolysis (CPM) is rare demyelinating disorder characterized by loss of myelin in the center of the basis pontis. The clinical features of CPM vary depending on the involved areas. Diffusion-weighted imaging (DWI) is thought to be useful for early detection during the acute phase, but its utility in this context has not been investigated thoroughly. We report the case of a CPM patient with normal initial DWI findings even at 1 week after symptom onset. To the best of our knowledge, no such cases of CPM have previously been reported.
authors.affiliation: Department of Neurology, Hallym University College of Medicine, Seoul, Republic of Korea. sukyunkang@hanmail.net
authors.forename: Suk Yun
authors.initials: SY
authors.lastname: Kang
authors.forename: Hyeo-Il
authors.initials: HI
authors.lastname: Ma
authors.forename: Young-Min
authors.initials: YM
authors.lastname: Lim
authors.forename: Min-Gyeong
authors.initials: MG
authors.lastname: Jeong
authors.forename: Yun Joon
authors.initials: YJ
authors.lastname: Kim
authors.forename: Seok-Beom
authors.initials: SB
authors.lastname: Kwon
authors.forename: Sung Hee
authors.initials: SH
authors.lastname: Hwang
mesh_terms: D000368:Aged; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D009186:Myelin Sheath / Q000378:metabolism; D017590:Myelinolysis, Central Pontine / Q000175:diagnosis*; D011149:Pons / Q000473:pathology*