TY - JOUR
T1 - Wine glass sign and empty delta sign
T2 - A rare imaging presentation of postpartum encephalopathy in dehydration
AU - Chavadi, Chanabasappa V.
AU - Suprasanna, K.
AU - Dudekula, Anees
AU - Hegde, Madhav
AU - Kory, Swetha
PY - 2016/6/1
Y1 - 2016/6/1
N2 - 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.
AB - 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.
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U2 - 10.7860/JCDR/2016/16969.7903
DO - 10.7860/JCDR/2016/16969.7903
M3 - Article
AN - SCOPUS:84973279741
SN - 2249-782X
VL - 10
SP - TD01-TD02
JO - Journal of Clinical and Diagnostic Research
JF - Journal of Clinical and Diagnostic Research
IS - 6
ER -