| Autor: |
A, Alluin, J, Jezequel, N, Gauthier, J-L, Desmaretz, C, Canevet |
| Jazyk: |
francouzština |
| Rok vydání: |
2009 |
| Předmět: |
|
| Zdroj: |
Annales francaises d'anesthesie et de reanimation. 30(10) |
| ISSN: |
1769-6623 |
| Popis: |
We present the case of a 24-year-old-female patient, who made an attempt to autolysis with valproic acid, benzodiazepines and neuroleptic. The valproic acid plasma level was very high (1437 μg/mL), confirming it was a severe intoxication. She presents an acute encephalopathy with prolonged status epilepticus, a lactic metabolic acidosis and hematologic disorders such as bicytopenia. Treatment including L-carnintine and continuous veno-venous haemodialysis (CVVHD) was rapidly introduced to prevent the occurrence of cerebral oedema. The evolution was favourable despite the occurrence of a nosocomial ventilation acute lung injury. The patient had motor sequelae of cranial nerves following status epilepticus extended, which disappeared spontaneously after several days. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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