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渗透性脱髓鞘综合征的不典型表现: PRES 还是 ODS?

PRES or ODS: An atypical presentation of osmotic demyelination syndrome?

作者信息

Wiley Joshua, Colantonio Mark, Hollingsworth Nisha, Shakesprere Jonathan

机构信息

Department of Medicine, West Virginia University, Morgantown, WV, USA.

Department of Neurology, West Virginia University, Morgantown, WV, USA.

出版信息

Radiol Case Rep. 2025 May 13;20(8):3715-3718. doi: 10.1016/j.radcr.2025.04.082. eCollection 2025 Aug.

Abstract

Osmotic demyelination syndrome is a rare, but life-threatening condition requiring prompt identification and treatment. Classically, this pathology is associated with overcorrection of hyponatremia. Few cases have explored alternative etiologies, including large variation in blood glucose as well as beer potomania. Here, we present a case of osmotic demyelination syndrome secondary to derangements of blood glucose in the setting of eunatremia.

摘要

渗透性脱髓鞘综合征是一种罕见但危及生命的疾病,需要及时识别和治疗。传统上,这种病理情况与低钠血症的过度纠正有关。少数病例探讨了其他病因,包括血糖大幅波动以及啤酒狂饮综合征。在此,我们报告一例在血钠正常情况下因血糖紊乱继发渗透性脱髓鞘综合征的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f69e/12140034/dac903aae4d6/gr1.jpg

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