Wine Glass Sign and Empty Delta Sign: A Rare Imaging Presentation of Postpartum Encephalopathy in Dehydration

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 di...

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Bibliographic Details
Published in:Journal of clinical and diagnostic research 2016-06, Vol.10 (6), p.TD01-TD02
Main Authors: Chavadi, Chanabasappa V, Suprasanna, K, Dudekula, Anees, Hegde, Madhav, Kory, Swetha
Format: Article
Language:English
Subjects:
hypernatraemia
magnetic resonance imaging
myelinolysis
Radiology Section
thrombosis
Online Access:Get full text
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Summary: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.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2016/16969.7903