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09 July 2020: Articles

Follow-Up of Brain Single-Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI) in a Case of Seizure Caused by Osmotic Demyelination Syndrome

Challenging differential diagnosis

Ari Chong B , Jung-min Ha A* , Ji Yeon Chung B , Hoowon Kim B , Yong Soo Cho B

DOI: 10.12659/AJCR.923406

Am J Case Rep 2020; 21:e923406

Figure 2. Magnetic resonance images on the day of seizure (A, B) and after 2 months (B, C). T2 flair image on the day after the seizure episode showing T2 hyperintensity without diffusion restriction in both caudate nucleus (arrows), putamen (arrows), right thalamus (arrows), pulvinar, and both middle cerebellar peduncles. Osmotic demyelination syndrome was suggested. (B) Diffuse T2 hyperintensity with mild diffusion restriction in right cerebral cortical area (arrows). Cortical signal change was predominantly in the insular temporal and parieto-occipital lobe. (C, D) After 2 months, follow-up MR showed that T2 hyperintensity was normalized (T2-weighted images).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923