The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange
| Autor: | Saeko Kumon, Shinzo Kuzuhara, Minako Koike, Ryosuke Usui, Kosaku Nitta |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Plasma Exchange
hyponatremia business.industry Serum sodium level Case Report Syndrome General Medicine 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences Lethargy 0302 clinical medicine Anesthesia Internal Medicine Humans Medicine Female In patient business Hyponatremia osmotic demyelination syndrome 030217 neurology & neurosurgery Aged Demyelinating Diseases |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|