A salty dilemma: A case report of anorexia nervosa with osmotic
demyelination syndrome due to hypernatremia
Osmotic demyelination syndrome (ODS) happens in osmotic stress. Thiamine
deficiency causes Wernicke-Korsakoff syndrome (WKS). A 39-year-old woman
with anorexia nervosa presented with impaired consciousness. Sodium was
179, MRI showed signs of ODS and WKS. Hypernatremia is argued as a rare
ODS cause. In malnutrition, WKS might overlap with ODS.