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Table 3. Summary of case reports describing plasmapheresis used to treat ODS.

From: Effective treatment of osmotic demyelination syndrome with plasmapheresis: a case report and review of the literature

Age and gender of the patient

Clinical features

MRI findings

Day of initiation of plasmapheresis

No. of cycles/volume exchanged

Outcome

References

Pontine

Extra-pontine

Clinical

Radiological

29 F

Tetraparesis, areflexia, bulbar dysfunction

+

−

NA

24,700 mL

Partial

Unchanged

[8]

20 F

Spastic tetraparesis, bulbar dysfunction

+

−

NA

5243 mL

Partial

Unchanged

[8]

30 F

Tetraparesis, pseudo-bulbar palsy, nystagmus

+

−

NA

18,270 mL

Complete

Unchanged

[8]

59 F

Pseudo-bulbar palsy, flaccid tetraplegia, ophthalmoplegia, hyper-reflexia

+

−

A week after the onset of neurological manifestations

37,300 mL

Partial

Unchanged

[9]

40 F

Tetraparesis, pseudo-bulbar palsy, diplopia

+

−

Immediately after MRI confirmation of ODS

4394 mL

Partial

NA

[10]

71 F

Spastic tetraparesis, hyper-reflexia, dysphagia

+

+

23rd day after rapid sodium correction

3840 mL

Complete

The signals were reduced in size but remained

[6]

50 F

Drowsy, spastic tetraparesis, areflexia, bulbar dysfunction

+

−

20th day after the onset of neurological manifestations

7 cycles

Complete

NA

(7)

  1. F female, NA data not available, + presence of changes, − absence of changes