Osmotic Demyelination Syndrome due to Rhabdomyolysis and Hyperosmolar Hyperglycemic Syndrome following Cardiogenic Shock

<div>MRI on day 57 revealed symmetrical hyperintensity in the bilateral pons, cerebellar hemispheres, hippocampus, thalamus, and hypothalamus on FLAIR. (a) Cerebellar hemispheres (arrow). (b) Hippocampus and hypothalamus (arrow). (c) Thalamus (arrow). FLAIR: fluid-attenuated inversion recovery; MRI: magnetic resonance imaging.</div>

Case Reports in Critical Care

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Figure 5

Figure 5: Osmotic Demyelination Syndrome due to Rhabdomyolysis and Hyperosmolar Hyperglycemic Syndrome following Cardiogenic Shock 