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Plasmapheresis to treat Osmotic Demyelination Syndrome from overly rapid plasma sodium correction
D K Gayathri1, K Dhayalen2, Y K Chia2
1Hospital Queen Elizabeth, Department of Medicine, Kota Kinabalu, Sabah, Malaysia. kgaya3@yahoo.com.
Abstract:
Osmotic demyelination syndrome results from overly rapid serum sodium correction and is often iatrogenic. We report a 50-year-old hypertensive woman on Indapamide presenting with malaise, dizziness and serum sodium less than 100mmol/l who developed osmotic demyelination syndrome after correction of the hyponatremia. Good neurological recovery was seen after plasmapheresis.
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