Axial T2 (left) and FLAIR (right) images reveal abnormal high signal involving the pons with
sparing of the corticospinal tracts and periphery, including the pontine tegmentum.
A more superior FLAIR image (left) shows extension of the abnormality into the upper pons.
A post-gad image (right) reveals no enhancement of the lesion.
Key words: mri metabolic white matter disease demyelinating
Central pontine myelinolysis