Osmotic nephrosis condition, or it may confused with other nephrotic conditions such as Tubular calcineurin-inhibitor toxicity. Affected cells of the proximal tubule may be passed in the urine, but a kidney biopsy is the only sure way to make a diagnosis. Responsible exogenous solutes include sucrose-containing IVIg, mannitol, dextran, contrast dye, and hydroxyethyl starch. Prevention includes standard preventions for iatrogenic kidney damage. Osmotic nephrosis is usually reversible but can lead to chronic renal failure. Osmotic nephrosis Osmotic nephrosis refers to structural changes that occur at the cellular level in the human kidney. Cells, primarily of the straight proximal tubule, swell due to
Transneuronal degeneration Loss of sensory receptors in the cochlea, vestibules, and retina result in ganglion degeneration and transneuronal degeneration. Demyelination also results as oligodendrocytes and Schwann cells are killed. Evidence supports the theory that amyotorphic lateral sclerosis causes anterograde dengeneration of corticomotoneurons. The hyperexcitable corticomotoneurons drive anterior horn cells into metabolic deficit, resulting in cell degeneration and death. If this exocitotoxic process occurs rapidly, it results in a more rapid death of anterior horn cells resulting in lower motor neuron disease. There are several different mechanisms by which transneuronal degeneration can occur. The technical cause of transneuronal degeneration is the death of