UNIGE document Scientific Article - Case report
previous document  unige:46424  next document
add to browser collection
Title

Encéphalopathie complexe, transitoire et récidivante après résection étendue de l'intestin grêle. Responsabilité du D-Lactate

Authors
Mensi, N
Published in Revue neurologique. 2001, vol. 157, no. 6-7, p. 679-81
Abstract Recurrent episodes of confusion are most commonly due to transient brain dysfunction related to vascular, epileptic or metabolic abnormalities. We report here a 54-year-old patient who, in the months following an extensive surgery of the small intestine, developed several acute confusional episodes characterized by encephalopathic signs (such as behavioral changes, desorientation and somnolence), ataxia, nystagmus and dysarthria. A number of metabolic changes were demonstrated during the episodes, including metabolic acidosis with increased anion gap and an elevated blood level of D-lactate. Symptoms disappeared after treatment with antibiotics. D-lactate encephalopathy is a rare cause of recurrent confusion which could be suspected based on a characteristic association of clinical signs. Diagnosis is confirmed by appropriate dosages. We discussed the possible mechanisms leading to confusional episodes.
Keywords Acidosis, Lactic/blood/diagnosisBrain Diseases, Metabolic/blood/diagnosisConfusion/blood/diagnosisHumansIntestine, Small/blood supply/surgeryIschemia/surgeryLactic Acid/bloodMaleMesenteric Artery, Superior/surgeryMesenteric Vascular Occlusion/surgeryMiddle AgedNeurologic ExaminationPostoperative Complications/blood/diagnosisRecurrenceRisk FactorsShort Bowel Syndrome/blood/diagnosisThrombosis/surgery
Identifiers
PMID: 11458187
Full text
This document has no fulltext available yet, but you can contact its author by using the form below.
Structures
Research group Scléroses en plaques, neuroimmunologie, encéphalite autoimmune expérimentale (843)
Citation
(ISO format)
LALIVE D'EPINAY, Patrice et al. Encéphalopathie complexe, transitoire et récidivante après résection étendue de l'intestin grêle. Responsabilité du D-Lactate. In: Revue neurologique, 2001, vol. 157, n° 6-7, p. 679-81. https://archive-ouverte.unige.ch/unige:46424

182 hits

0 download

Update

Deposited on : 2015-02-04

Export document
Format :
Citation style :