Open AccessWine Glass Sign and Empty Delta Sign: A Rare Imaging Presentation of Postpartum Encephalopathy in Dehydration
Author(s) -
Chanabasappa Chavadi,
K Suprasanna,
Anees Dudekula,
Madhav Hegde,
Swetha Kory
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/16969.7903
Subject(s) - hyponatremia , medicine , encephalopathy , neuroimaging , presentation (obstetrics) , case presentation , dehydration , delta , pediatrics , radiology , anesthesia , surgery , chemistry , psychiatry , biochemistry , engineering , aerospace engineering
Rapid correction of hyponatremia is a well-known cause of central pontine and extrapontine myelinolysis. But uncommonly seen and rarely reported in Hypernatraemia. We report a rare case presenting as postpartum psychosis, wherein imaging revealed myelinolysis of corticospinal tracts in wine glass distribution and empty delta sign due to cortical venous thrombosis. At follow-up 3 months later, revealed significant neurological improvement. Concurrance occurrence of this dual pathology is not been described, which in our case was due to high serum sodium levels at presentation and dehydration.