Table 1

Clinical manifestations, investigations and subtypes of osmotic demyelination syndrome (n=25)

VariableNo (%)
Mean age at presentation (years, SD)53.3±14.5
Male:female11:13
Encephalopathy at presentation20 (80)
Seizures9 (36)
Mute state8 (32)
Extrapyramidal syndrome15 (60)
Extraocular movement abnormality9 (36)
Deep tendon reflexes (brisk:hypo/areflexia)6:8
Abnormality in EEG (n=12)8 (66.7)
Neuropathy in nerve-conduction study (n=6)4
Treatment (intravenous methylprednisolone)6 (24)
Diagnosis
 Central pontine myelinolysis5 (20)
 Extrapontine myelinolysis7 (28)
 Combination13 (52)