Aug 2026· Russian neurological Journal· 0 citations· 26 references
TL;DR
A review of literary sources of domestic and foreign authors examining ODS is conducted, and it is described using the example of the authors' own clinical observation to highlight the need for timely diagnosis and a multidisciplinary approach to the management of this pathology.
Abstract
Osmotic demyelinating syndrome (ODS) is a rare disorder that occurs when the osmotic pressure of the blood changes rapidly and leads to serious neurological disorders.
Purpose
: to conduct a review of literary sources of domestic and foreign authors examining ODS, and also to describe it using the example of our own clinical observation.
Material and methods
. A review of literary sources in Russian and English for the period 2015–2025 was conducted, using the RSCI and PubMed databases. A clinical case of a patient with ODS is presented.
Results
. A clinical case of osmotic demyelination syndrome is presented. Modern neuroimaging studies confi rmed central pontine and extrapontine myelinolysis. Neuroimaging and laboratory tests enabled the timely detection of severe multiorgan damage. This case highlights the need for timely diagnosis and a multidisciplinary approach to the management of this pathology. Conclusion. This clinical case highlights the complexity of diff erential diagnosis and the need for a comprehensive assessment of the patient’s condition, including additional diagnostic methods. The importance of interdisciplinary collaboration is evident, ensuring adequate disease management and improving treatment outcomes.
Four clinical cases of NMOSD that illustrate the difficulties in making a timely diagnosis due to an ambiguous clinical, radiological and laboratory picture were presented and strategies to improve the early diagnosis of NMOSD to prevent such outcomes were proposed.
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Background: Palliative care receives referrals of most patients perceived to be dying in acute hospitals. Occasionally, patients with rare and complex conditions are referred and this requires a rapid learning curve for the palliative care team to ensure correct decisions are made. Central pontine myelinolysis is a typ...
Cronin K, Ely H, G. L. et al.· Hospice & Palliative Med...· 0 citations
BACKGROUND
Susac's syndrome (SuS) is a rare microangiopathy, often consisting of a classic, pathognomonic, clinical triad of sensorineural hearing impairment, encephalopathy, and retinal arterial occlusions. The variable presentation of SuS leads to underdiagnosis, despite the syndrome standing as an important differen...
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Although rare, the coexistence of NF1 and HC is not impossible, and a patient-centered diagnostic and management approach should be provided in each clinical situation, underline the importance of a multidisciplinary approach.
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