Osmotic Demyelination Syndrome: Trident Sign.

J Assoc Physicians India

Senior Consultant, Department of Nephrology, Poona Hospital and Research Centre, Pune, Maharashtra, India.

Published: October 2024

AI Article Synopsis

  • A 72-year-old woman had dangerously low sodium levels, dropping to 102.5 mEq/L, which caused severe health issues.
  • After rapidly increasing her sodium levels, she developed osmotic demyelination syndrome (ODS), a serious neurological condition.
  • The best way to diagnose ODS is through MRI, which shows a distinctive trident-shaped pattern in the brain, and patients usually need intensive care and gradual adjustments to their sodium levels.

Article Abstract

A 72-year-old female experienced severe hyponatremia, leading to a serum sodium level of 102.5 mEq/L. Sodium levels were rapidly increased, resulting in osmotic demyelination syndrome (ODS). Magnetic resonance imaging is the most appropriate diagnostic tool for ODS, with the classic trident-shaped appearance formed by the hyperintense central pontine signal. Patients with ODS often require intensive supportive care and relowering of sodium levels.

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Source
http://dx.doi.org/10.59556/japi.72.0698DOI Listing

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