PMC8219389_01
This figure shows transition of blood sugar (BS) and sodium. Corrected sodium is calculated using the formula; sodium+{(BS-100)/100*1.65}. Left bar is for BS level and right bar is for sodium concentration.
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BS levels decreased by 60 mg/dL and the serum sodium increased from 135 to 161 mEq/L in 6 hours (Figure 1). BS was administered at a dosage of 4 U/h (0.1 U/kg/h).
Brain magnetic resonance imaging consistent with CPM (A) high signal intensity lesions in the posterior central pons on T2WI (arrow head), (B) low signal intensity lesion on T1WI, and (C) high signal intensity lesion and a lesion without a decrease in the apparent diffusion coefficient on DWI.
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T2-weighted and fluid-attenuated inversion-recovery images (Figure 2A), low signal intensity lesion on T1 weighted images (Figure 2B), and a high signal intensity lesion and a lesion without a decrease in the apparent diffusion coefficient on diffusion-weighted images (Figure 2C). These imaging findings informed a diagnosis of CPM.