Myélinolyse centro-pontine révélée par une monoplégie supérieure gauche sans hyponatrémie ni dénutrition

Kpade, C.; Durieu, I.; Limodin, J; Paulin, M; Magni, Christophe; Lemaire, J.-F.

doi:10.1016/s0035-3787(04)70988-1

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“…Osmotic demyelination syndrome (ODS) is traditionally associated with rapid correction of hyponatremia or hyperglycemia but has also been associated with other electrolytic disorders [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Osmotic Demyelination Syndrome in a Normonatremic Patient Under Treatment With Proton Pump Inhibitors

Romero Calvo,

Garcia-Blanco,

Valenzuela

et al. 2023

Cureus

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A 66-year-old woman was admitted to the emergency department with diarrhea, nausea, and vomiting as well as low-grade fever. She was initially treated with ciprofloxacin and metronidazole with symptomatic improvement and was discharged. One week later, she returned to the emergency department for gait instability, dizziness, and vomiting and had a witnessed generalized tonic-clonic seizure in the hospital. During both admissions, the presence of ionic alterations such as severe hypomagnesemia, hypophosphatemia, and hypokalemia stood out, while sodium levels remained normal. Among her antecedents, she had a hiatal hernia and had been receiving treatment with omeprazole for years.

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Section: Introductionmentioning

confidence: 99%