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[Fulminant coma: think hyperammonemia and urea cycle disorders]. / Coma d'évolution foudroyante: penser à l'hyperammoniémie quel que soit l'âge.
Augris, C; Jouvet, P; Benabdelmalek, F; Vauquelin, P; Caramella, J P.
Afiliação
  • Augris C; Service d'anesthésie, centre hospitalier de Nevers, avenue Colbert, 58000 Nevers, France.
Ann Fr Anesth Reanim ; 21(10): 820-3, 2002 Dec.
Article em Fr | MEDLINE | ID: mdl-12534125
The authors report the case of 14-year-old boy admitted for acute coma without neurological focal symptom. The only relevant finding was the death of one uncle after a coma in the year 1992. This coma was associated with an ammonia blood level of 344 mumol l-1 and it rapidly lead to cerebral death despite a symptomatic treatment. The diagnosis of hereditary ornithine transcarbamylase deficiency was confirmed by liver biopsy in the immediate post-mortem period. The authors recommend the measurement of blood ammonia in every coma without diagnosis, whatever patient's age.
Assuntos
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Base de dados: MEDLINE Assunto principal: Ureia / Coma / Doença da Deficiência de Ornitina Carbomoiltransferase / Hiperamonemia Idioma: Fr Ano de publicação: 2002 Tipo de documento: Article
Buscar no Google
Base de dados: MEDLINE Assunto principal: Ureia / Coma / Doença da Deficiência de Ornitina Carbomoiltransferase / Hiperamonemia Idioma: Fr Ano de publicação: 2002 Tipo de documento: Article