title: Wine Glass Sign and Empty Delta Sign: A Rare Imaging Presentation of Postpartum Encephalopathy in Dehydration.
abstract: Rapid correction of hyponatremia is a well-known cause of central pontine and extrapontine myelinolysis. But uncommonly seen and rarely reported in Hypernatraemia. We report a rare case presenting as postpartum psychosis, wherein imaging revealed myelinolysis of corticospinal tracts in wine glass distribution and empty delta sign due to cortical venous thrombosis. At follow-up 3 months later, revealed significant neurological improvement. Concurrance occurrence of this dual pathology is not been described, which in our case was due to high serum sodium levels at presentation and dehydration.
authors: Assistant Professor, Department of Radiology, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: Chanabasappa V
authors: CV
authors: Chavadi
authors: Assistant Professor, Department of Radiology, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: K
authors: K
authors: Suprasanna
authors: Resident, Department of Radiology, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: Anees
authors: A
authors: Dudekula
authors: Associate Professor, Department Radiology, Dr. B.R. Ambedkar Medical College , Bengaluru, Karnataka, India .
authors: Madhav
authors: M
authors: Hegde
authors: Resident, Department of Pathology, Yenepoya Medical College , Mangalore, Karnataka, India .
authors: Swetha
authors: S
authors: Kory
keywords: Hypernatraemia; Magnetic resonance imaging; Myelinolysis; Thrombosis