Question 3

Fig. 6.8 Quiz case.

50-year-old male. 7-day history of gastroenteritis. He was severely dehydrated and confused.

Plasma sodium = 120mmol/L. Hypertonic saline was given to correct it; 24 hours later, he developed flaccid weakness in all four limbs, and difficulty in swallowing.

Below is a T2-weighted axial image of the brain (Fig. 6.8).

■ What is the abnormality?

■ What conditions are associated with this diagnosis?

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