NYMC Faculty Publications

Prolonged Altered Mental Status in a Diabetic Hemodialysis Patient

Author Type(s)

Faculty

DOI

10.7759/cureus.13132

Journal Title

Cureus

First Page

13132

Last Page

13132

Document Type

Case Report

Publication Date

2-4-2021

Department

Medicine

Abstract

Osmotic demyelination syndrome (ODS) is a demyelinating disorder of the central nervous system. It usually occurs with rapid correction of severe chronic hyponatremia. ODS is rarely seen as a complication of hyperglycemia. Herein, we report a rare presentation of ODS secondary to hyperosmolar hyperglycemic state. A 28-year-old female with type 1 diabetes, hypertension, seizure disorder, and end-stage renal disease on hemodialysis was brought from a shelter with two days of unresponsiveness and developed ODS after hyperosmolar hyperglycemic state in long-standing uncontrolled diabetes with normal serum electrolyte levels.

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