An Interesting Case of Osmotic Demyelination Syndrome, with two Cerebrovascular Accidents in a Post Liver Transplant Patient

Abstract

Though ODS is perceived to be a dreadful complication classically occurring after aggressive therapy for hyponatremia, it is important to recognise that osmotic demyelination can develop in patients with any levels of sodium, indicating the contribution of other factors [1] . Alcohol abuse, liver transplantation, malnutrition [2,3] are strong independent risk factors for the development of ODS. We present the events in a case of an Ethanol related Decompensated Liver Disease(DCLD), who developed ODS after liver transplantation, with normal sodium levels, who eventually suffered an embolic stroke later and a cerebral hemorrhage towards discharge.