Evidence map›Paper›PMID 42210168›Full record

ArticleBMC pediatrics2026

Pediatric osmotic demyelination syndrome triggered by post-traumatic pituitary stalk injury: a case report.

Maolin Sheng, Ming Zhang, Weifeng Lu

Abstract readCase Reports
In one paragraph

Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Maolin ShengDepartment of Surgical Intensive Care Unit, Children's Hospital of Nanjing Medical University, Jiangdong South Road NO.8, Nanjing, Jiangsu, China. shengmaolinsy@sina.com.
Ming ZhangDepartment of Surgical Intensive Care Unit, Children's Hospital of Nanjing Medical University, Jiangdong South Road NO.8, Nanjing, Jiangsu, China.
Weifeng LuDepartment of Surgical Intensive Care Unit, Children's Hospital of Nanjing Medical University, Jiangdong South Road NO.8, Nanjing, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsmotic demyelination syndrome (ODS) is an acute neurological disorder resulting from demyelination, typically triggered by rapid osmotic shifts. This syndrome is rare in adults and even more uncommon in children.To date, no reported cases have documented ODS secondary to hyponatremia caused by post-traumatic pituitary stalk injury. We report a pediatric patient with traumatic brain injury who developed ODS subsequent to pituitary stalk disruption and hyponatremia, and discuss the corresponding diagnostic and therapeutic strategies. CASE PRESENTATION: We report the case of a 13-year-old Chinese girl who presented with seizures, central diabetes insipidus, dysarthria, dysphagia, and painful hypertonia following traumatic brain injury. Laboratory investigation revealed Severe hyponatremia. Magnetic resonance imaging (MRI)confirmed the diagnosis of ODS. The child was managed accordingly and demonstrated a favorable clinical response, with substantial recovery in physical function and quality of life.

conclusionEarly diagnosis of ODS is based on recognizing key risk factors, typical clinical symptoms, and characteristic neuroimaging findings. Contrast-enhanced MRI can be critical in elucidating the underlying etiology. B-complex vitamins and hyperbaric oxygen therapy have the potential to improve disease outcomes.

Indexed as

Brain Injuries, TraumaticDemyelinating DiseasesHyponatremiaPituitary GlandAdolescentFemaleHumansMagnetic Resonance ImagingSyndromeHyponatremiaOsmotic DemyelinationPediatricPituitary stalk injurySyndromeTraumatic

Identifiers

PMID42210168
PMCPMC13411744

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.