Star fruit (Averrhoa carambola) toxic encephalopathy

被引：9
|
作者：
Signate, A. [1 ]
Olindo, S. [1 ]
Chausson, N. [1 ]
Cassinoto, C. [2 ]
Nana, M. Edimo [1 ]
Saint Vil, M. [1 ]
Cabre, P. [1 ]
Smadja, D. [1 ]
机构：
[1] CHU, Serv Neurol, BP 632, F-97200 Fort De France, Martinique, France
[2] CHU, Serv Radiol, F-97200 Fort De France, Martinique, France
来源：
REVUE NEUROLOGIQUE | 2009年 / 165卷 / 03期
关键词：
Star fruit; Toxic encephalopathy; Hiccups; Status epilepticus; INTOXICATION; INGESTION; OXALATE;
D O I：
10.1016/j.neurol.2008.06.011
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Ingestion of star fruit (Averrhoa carambola) can induce severe intoxication in subjects with chronic renal failure. Oxalate plays a key role in the neurotoxicity of star fruit. We report the cases of two patients with unknown chronic renal insufficiency who developed severe encephalopathy after ingestion of star fruit. The two patients developed intractable hiccups, vomiting, impaired consciousness and status epilepticus. Diffusion-weighted MR imaging showed cortical and thalamic hyperintense lesions related to epileptic status. They improved after being submitted to continuous hemofiltration which constitutes the most effective treatment during the acute phase. (C) 2008 Elsevier Masson SAS.
引用
收藏
页码：268 / 272
页数：5
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