Nitta Kosaku
   Department   Other, Other
   Position  
Article types Original article
Language English
Peer review Non peer reviewed
Title The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange.
Journal Formal name:Internal Medicine
Abbreviation:Intern Med
ISSN code:(1349-7235)0918-2918(Linking)
Volume, Issue, Page 56(6),pp.733-736
Author and coauthor Kumon Saeko, Usui Ryosuke, Kuzuhara Shinzo, Nitta Kosaku, Koike Minako
Publication date 2017
Summary A 71-year-old Japanese woman presented with progressive fatigue, lethargy, dysarthria and a gait disorder. Her laboratory data revealed hyponatremia (Na 101 mEq/L), and we started correcting her serum sodium level. Within a few days, she became comatose, bedridden, and was intubated. We diagnosed osmotic demyelination syndrome (ODS) and started performing plasma exchange (PE) on the 39th day of hospitalization. She fully recovered after starting PE, and was discharged on foot unassisted. PE can be a beneficial treatment in patients with chronic ODS.
DOI 10.2169/internalmedicine.56.7491
PMID 28321080