Abstract

Osmotic myelinolysis (OM) affecting the central nervous system typically occurs in the pons with or without involvement of other brain regions. Extrapontine myelinolysis can rarely occur in the spinal cord. Diabetic ketoacidosis is an uncommon and scarcely cause of OM. We report a case of a patient with type 1 diabetes who presented with an unusual presentation of OM syndrome affecting the pons and spinal cord and describe the clinical and radiographic findings in the context of other scarce reported cases.

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