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題 名 | Osmotic Demyelination Syndrome in a Patient Chronic Hyponatremia and Hypokalemia=慢性低血鈉及低血鉀治療後合併滲透性髓鞘脫失症候群 |
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作 者 | 蔡文生; 薛俊仁; 許育瑞; 林石化; | 書刊名 | Journal of Medical Sciences |
卷 期 | 22:1 2002.02[民91.02] |
頁 次 | 頁35-37 |
分類號 | 415.597 |
關鍵詞 | 低血鈉; 低血鉀; 滲透性髓鞘脫失症候群; Hypokalemia; Hyponatremia; Normal saline; Osmotic demyelination syndrome; |
語 文 | 英文(English) |
英文摘要 | Rapid correction of severe chronic hyponatremia with normal saline is less known to cause osmotic demyelination syndrome (ODS). A 66-year-old female on diuretics for hypertension presented with profound hy-ponatremia (98 mmol/L) and hypokalemia (2.0 mmol/L) associated with volume depletion. Normal saline 2 L/day and KCl 48 mmol/day were given for 3 days. Serum Na+ concentration rose to 112 mmol/L within 24 hours. With improvement of her hyponatremia, her symptoms remitted although hypokalemia persisted. However, delirium, paraparesis, and sensory aphasia developed 5 days later. Magnetic resonance imaging (MRI) of the brain clearly showed typical features of pontine and extrapontine myelinolysis. We suggest that the administration of KCl (orally and/or IV) would have been the appropriate therapy in this clinical case. |
本系統中英文摘要資訊取自各篇刊載內容。