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Updated: Jun 21, 2026

Assessment of Social Interaction Behaviors
Published on: February 25, 2011
[Ethanol, water, salt and coma]
M Spakowski1, N Nikolic, C Giambarba
1Interdisziplinäre Intensivstation, Stadtspital Waid, Zürich. margarete.spakowski@waid.zuerich.ch
Abstract:
We report on a 52-year-old woman with liver cirrhosis who suddenly fell into deep coma after correction of an intercurrent hyponatremia. After exclusion of the commonest causes of coma, the MRI showed a symmetrical osmotic demyelination of both thalami. The newest epidemiological data, the pathophysiology of osmotic demyelination, the threats of the treatment of a prolonged severe hyponatremia as well as the therapeutic options in face of osmotic demyelination are discussed.
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