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.