A peritoneal dialysis patient with osmotic demyelination syndrome

Hing Ming Cheng, Siu Hung Li
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Abstract

A peritoneal dialysis patient with cirrhosis presented with drowsiness, vomiting, and mild hyponatremia. Despite no active correction of hyponatremia, she developed convulsion and quadriplegia. Magnetic resonance imaging of the brain showed changes of osmotic demyelination syndrome. This case illustrates that osmotic demyelination syndrome may occur in peritoneal dialysis without rapid correction of hyponatremia.

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腹膜透析合并渗透性脱髓鞘综合征1例
腹膜透析合并肝硬化患者表现为嗜睡、呕吐和轻度低钠血症。尽管没有积极纠正低钠血症,她出现抽搐和四肢瘫痪。脑磁共振成像显示渗透性脱髓鞘综合征的变化。本病例说明渗透性脱髓鞘综合征可能发生在腹膜透析没有迅速纠正低钠血症。
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