09 September 2022
: Case report 
A 44-Year-Old Alcohol-Dependent Man Who Recovered from Central Pontine Myelinolysis with Supportive Physical Therapy
Unusual clinical course, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)
Makoto Tobiume1BCDE, Nami Iha2BCD, Ayako Miyahira3DE, Shingo Kariya4ADEF*DOI: 10.12659/AJCR.937389
Am J Case Rep 2022; 23:e937389
Figure 1. Axial MRI scans taken on the day of disease onset. (A) T2-weighted (T2W) image at the level of the pons. (B) Enlarged T2W image of the square region indicated in (A) showing the central pontine lesion as a slightly high-signal area. (C) Enlarged T1-weighted (T1W) image of the square region indicated in (A) showing the central pontine lesion as a slightly low-signal area. (D) Enlarged diffusion-weighted (DW) image of the square region indicated in (A) showing the central pontine lesion as an apparently high-signal area resembling a piglet sign. Arrows indicate relatively spared descending corticospinal and corticobulbar tracts (the nostrils of the pig snout) within the lesion.