From Hyponatremia to Osmotic Demyelination: A Clinical Odyssey and Lessons Learned

Jafrin Sadiq Abdul Razack, Sahil Asgar Ali, Syeda Juveria Hussaini, Saud Khaled Aldoseri, Harshavardhan Rajagopal, Antony Calvin Ossanam, Ibtisam Akram, Viorica Khalili
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Abstract

A 76-year-old female presented with acute confusion and delirium of 3 days duration. The patient was admitted to the ICU in a state of acute confusion. History taken from the patient’s daughter revealed that the patient had nausea, vomiting, diarrhea, and fever two days before admission. Blood tests and imaging were ordered, and after reviewing the results, a diagnosis of osmotic demyelination syndrome (ODS) was made.
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从低钠血症到渗透性脱髓鞘:临床奥德赛和经验教训
一名 76 岁的女性患者出现急性意识模糊和谵妄,病程 3 天。患者在急性意识模糊状态下被送入重症监护室。患者女儿提供的病史显示,患者入院前两天出现恶心、呕吐、腹泻和发烧症状。医生为患者开具了血液化验单和影像学检查单,检查结果显示,患者被诊断为渗透性脱髓鞘综合征(ODS)。
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