Osmotic Demyelination Syndrome: A Case Report

Authors

  • M Azizul Hoque Associate Professor, Department of Medicine, Rajshahi Medical College, Rajshahi.
  • M Zahirul Haque Assistant Professor, Department of Medicine, Rajshahi Medical College, Rajshahi.
  • ABM Saiful Alam Assistant Professor, Department of Medicine, Rajshahi Medical College, Rajshahi.
  • AHM Tohurul Islam Assistant Professor (Radiology & Imaging); Rajshahi Medical College, Rajshahi.
  • DA Rashid Assistant Professor (Endocrinology), Department of Medicine, Rajshahi Medical College, Rajshahi.
  • M Jahangir Hossain Assistant Registrar (Medicine Unit III); Rajshahi Medical College Hospital, Rajshahi.

DOI:

https://doi.org/10.3329/taj.v21i2.3800

Keywords:

Osmotic Demyelination Syndrome

Abstract

We report a case of a middle aged lady who presented with alteration of consciousness and dysphasia. She was found to have hyponatremia which was corrected rapidly. After initial improvement, she subsequently developed marked deterioration of conscious level with upper motor sign signs in all four limbs. Osmotic demyelination syndrome was diagnosed by MRI. Severe hyponatremia carries a risk of cerebral edema with a significant mortality, but correcting it too rapidly can result in even more disastrous condition- osmotic demyelination syndrome.

doi: 10.3329/taj.v21i2.3800  

TAJ 2008; 21(2): 170-173

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How to Cite

Hoque, M. A., Haque, M. Z., Alam, A. S., Islam, A. T., Rashid, D., & Hossain, M. J. (2009). Osmotic Demyelination Syndrome: A Case Report. TAJ: Journal of Teachers Association, 21(2), 170–173. https://doi.org/10.3329/taj.v21i2.3800

Issue

Vol. 21 No. 2 (2008)

Section

Case Reports