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- W1889772803 abstract "Introduction: Inappropriate fluid management in sick patients has a rare potential consequence called osmotic demyelination (ODs); either central pontine myelinolysis (cPM) or extrapontine myelinolysis (EPM) or combination of both. As reported in the studies, the incidence of these varies from 0.05-5.7% as per the different autopsy studies. the clinical presentation is variable from Locked in syndrome to seizures, behavioral and personality changes. case report: A 58-year-old ADL (activities of daily living) independent, apparently healthy, social and friendly female presented with aggressive behavior, excessive talking and disorientation after being treated for vomiting and diarrhea in a hospital. All these symptoms and events occurred after initial treatment for pneumonia. Her ct scans of brain were normal and had normal blood reports on thorough assessment. conclusion: Prompt evaluation with EEG and MrI scan clinched the diagnosis of osmotic demyelination (ODs). We report" @default.
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- W1889772803 date "2015-01-01" @default.
- W1889772803 modified "2023-09-24" @default.
- W1889772803 title "Osmotic demyelination affecting extrapontine areas of brain" @default.
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- W1889772803 doi "https://doi.org/10.5348/ijcri-201591-cr-10552" @default.
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