The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange

A 71-year-old Japanese woman presented with progressive fatigue, lethargy, dysarthria and a gait disorder. Her laboratory data revealed hyponatremia (Na 101 mEq/L), and we started correcting her serum sodium level. Within a few days, she became comatose, bedridden, and was intubated. We diagnosed os...

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Autores principales: Kumon, Saeko, Usui, Ryosuke, Kuzuhara, Shinzo, Nitta, Kosaku, Koike, Minako
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410490/
https://www.ncbi.nlm.nih.gov/pubmed/28321080
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author Kumon, Saeko
Usui, Ryosuke
Kuzuhara, Shinzo
Nitta, Kosaku
Koike, Minako
author_facet Kumon, Saeko
Usui, Ryosuke
Kuzuhara, Shinzo
Nitta, Kosaku
Koike, Minako
author_sort Kumon, Saeko
collection PubMed
description A 71-year-old Japanese woman presented with progressive fatigue, lethargy, dysarthria and a gait disorder. Her laboratory data revealed hyponatremia (Na 101 mEq/L), and we started correcting her serum sodium level. Within a few days, she became comatose, bedridden, and was intubated. We diagnosed osmotic demyelination syndrome (ODS) and started performing plasma exchange (PE) on the 39th day of hospitalization. She fully recovered after starting PE, and was discharged on foot unassisted. PE can be a beneficial treatment in patients with chronic ODS.
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spelling pubmed-54104902017-05-15 The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange Kumon, Saeko Usui, Ryosuke Kuzuhara, Shinzo Nitta, Kosaku Koike, Minako Intern Med Case Report A 71-year-old Japanese woman presented with progressive fatigue, lethargy, dysarthria and a gait disorder. Her laboratory data revealed hyponatremia (Na 101 mEq/L), and we started correcting her serum sodium level. Within a few days, she became comatose, bedridden, and was intubated. We diagnosed osmotic demyelination syndrome (ODS) and started performing plasma exchange (PE) on the 39th day of hospitalization. She fully recovered after starting PE, and was discharged on foot unassisted. PE can be a beneficial treatment in patients with chronic ODS. The Japanese Society of Internal Medicine 2017-03-15 /pmc/articles/PMC5410490/ /pubmed/28321080 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kumon, Saeko
Usui, Ryosuke
Kuzuhara, Shinzo
Nitta, Kosaku
Koike, Minako
The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange
title The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange
title_full The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange
title_fullStr The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange
title_full_unstemmed The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange
title_short The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange
title_sort improvement of the outcome of osmotic demyelination syndrome by plasma exchange
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410490/
https://www.ncbi.nlm.nih.gov/pubmed/28321080
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