Skip to main content
letter
. 2023 May 10;13(7):4785–4791. doi: 10.21037/qims-22-1302

Table 2. Clinical features and magnetic resonance imaging findings of the 8 osmotic demyelination syndrome patients (continued).

Patient number Location of lesion Lesion morphology Routine MRI findings Prognosis
1 Pons, bilateral caudate nucleus head, thalamus The pons lesions were symmetrical with a butterfly shape, and the bilateral caudate nuclei and thalamus lesions showed a symmetrical strip shape The pons signal was a symmetrical long T1/ long T2 signal There was no significant change in the patient’s symptoms
The thalamus of the bilateral caudate nucleus showed slightly longer T1 and T2 signal, and DWI showed a low signal
2 Pons Central strip shape Long T1 and long T2 signal, DWI showed high signal The patient’s symptoms improved
3 Pons Symmetrical butterfly wing Long T1 and long T2 signal, DWI was high signal The patient did not improve and requested discharge
4 Pons Asymmetric point sheet Slightly longer T1 signal and slightly longer T2 signal, DWI showed a low signal Death
5 Pons, bilateral thalamus, bilateral basal ganglia The pons lesion was symmetrical with a trident sign and demonstrated symmetric signals within the caudate heads, lentiform nuclei, medial thalami Slightly longer T1, slightly longer T2 signal, DWI showed a high signal The patient’s symptoms improved
6 Pons Symmetrical trident sign Slightly longer T1 signal and slightly longer T2 signal, DWI showed low signal The patient’s symptoms improved
7 Pons Symmetrical trident sign Slightly shorter, slightly longer T1, slightly longer T2 signal, DWI showed a high signal The patient did not improve and requested discharge
8 Pons Symmetrical dot spots Long T1, slightly longer T2 signal, DWI showed a low signal Death

MRI, magnetic resonance imaging; DWI, diffusion weighted imaging.