The Response of Osmotic Demyelination Syndrome to Plasmapheresis in a Patient Presenting with Catatonia After Correction of Hyponatraemia in Hyperemesis Gravidarum

Overview

Journal Eur J Case Rep Intern Med

Specialty General Medicine

Date 2024 Apr 8

PMID 38584910

Authors

Vimonsri Rangsrisaeneepitak

Arnant Tekarnjnavanit

Pattarapol Kanjanapipatkul

Sukrisd Koowattanatianchai

Affiliations

Soon will be listed here.

Abstract

Learning Points: Osmotic demyelination syndrome (ODS) is a rare but potentially devastating neurological complication, such as catatonia, resulting from the correction of hyponatraemia.Pregnancies complicated by hyperemesis gravidarum tend to exhibit hyponatraemia and hypokalaemia, which serve as contributing risk factors for ODS.Plasmapheresis is considered as an option in the treatment of ODS for the removal of inflammatory substances.

References

Lambeck J, Hieber M, Dressing A, Niesen W . Central Pontine Myelinosis and Osmotic Demyelination Syndrome. Dtsch Arztebl Int. 2019; 116(35-36):600-606. PMC: 6804268. DOI: 10.3238/arztebl.2019.0600. View

Martin R . Central pontine and extrapontine myelinolysis: the osmotic demyelination syndromes. J Neurol Neurosurg Psychiatry. 2004; 75 Suppl 3:iii22-8. PMC: 1765665. DOI: 10.1136/jnnp.2004.045906. View

Koussa S, Nasnas R . Catatonia and Parkinsonism due to extrapontine myelinolysis following rapid correction of hyponatremia: a case report. J Neurol. 2003; 250(1):103-5. DOI: 10.1007/s00415-003-0916-4. View

Janga K, Khan T, Khorolsky C, Greenberg S, Persaud P . A Rare Case of Central Pontine Myelinolysis in Overcorrection of Hyponatremia with Total Parenteral Nutrition in Pregnancy. Case Rep Nephrol. 2016; 2015:940807. PMC: 4700169. DOI: 10.1155/2015/940807. View

Ambati R, Kho L, Prentice D, Thompson A . Osmotic demyelination syndrome: novel risk factors and proposed pathophysiology. Intern Med J. 2022; 53(7):1154-1162. DOI: 10.1111/imj.15855. View

Corona G, Simonetti L, Giuliani C, Sforza A, Peri A . A case of osmotic demyelination syndrome occurred after the correction of severe hyponatraemia in hyperemesis gravidarum. BMC Endocr Disord. 2014; 14:34. PMC: 3989779. DOI: 10.1186/1472-6823-14-34. View

Fraser D . Central pontine myelinolysis as a result of treatment of hyperemesis gravidarum. Case report. Br J Obstet Gynaecol. 1988; 95(6):621-3. DOI: 10.1111/j.1471-0528.1988.tb09496.x. View

Kumon S, Usui R, Kuzuhara S, Nitta K, Koike M . The Improvement of the Outcome of Osmotic Demyelination Syndrome by Plasma Exchange. Intern Med. 2017; 56(6):733-736. PMC: 5410490. DOI: 10.2169/internalmedicine.56.7491. View

Walther S, Stegmayer K, Wilson J, Heckers S . Structure and neural mechanisms of catatonia. Lancet Psychiatry. 2019; 6(7):610-619. PMC: 6790975. DOI: 10.1016/S2215-0366(18)30474-7. View

10.

Louis G, Megarbane B, Lavoue S, Lassalle V, Argaud L, Poussel J . Long-term outcome of patients hospitalized in intensive care units with central or extrapontine myelinolysis*. Crit Care Med. 2011; 40(3):970-2. DOI: 10.1097/CCM.0b013e318236f152. View

11.

Sindhu D, Holla V, Prasad S, Kamble N, Netravathi M, Yadav R . The Spectrum of Movement Disorders in Cases with Osmotic Demyelination Syndrome. Mov Disord Clin Pract. 2021; 8(6):875-884. PMC: 8354067. DOI: 10.1002/mdc3.13250. View

12.

Lohr J . Osmotic demyelination syndrome following correction of hyponatremia: association with hypokalemia. Am J Med. 1994; 96(5):408-13. DOI: 10.1016/0002-9343(94)90166-x. View

13.

Lim K, Chia Y, Khoo C, Tan H . Case Series of Osmotic Demyelination Syndrome Treated With Plasmapheresis: Experience From Two Tertiary Hospitals. J Clin Neurol. 2022; 18(1):117-119. PMC: 8762491. DOI: 10.3988/jcn.2022.18.1.117. View

14.

Sanchez-Ferrer M, Prieto-Sanchez M, Orozco-Fernandez R, Machado-Linde F, Nieto-Diaz A . Central pontine myelinolysis during pregnancy: Pathogenesis, diagnosis and management. J Obstet Gynaecol. 2016; 37(3):273-279. DOI: 10.1080/01443615.2016.1244808. View

15.

Wijayabandara M, Appuhamy S, Weerathunga P, Chang T . Effective treatment of osmotic demyelination syndrome with plasmapheresis: a case report and review of the literature. J Med Case Rep. 2021; 15(1):6. PMC: 7798224. DOI: 10.1186/s13256-020-02573-9. View

16.

Adams R, Victor M, MANCALL E . Central pontine myelinolysis: a hitherto undescribed disease occurring in alcoholic and malnourished patients. AMA Arch Neurol Psychiatry. 1959; 81(2):154-72. View