Serial electroencephalograms in a patient with D-lactic acidosis.
A patient with previous bowel surgery was followed through the course of her recurrent encephalopathy with biochemically demonstrated D-lactic acidosis by detailed serial electroencephalography (EEG). Although the EEG changes were marked and parallelled the clinical and biochemical abnormalities closely, they were essentially non-specific. This diagnosis should be considered in encephalopathic patients with a history of bowel disease particularly after extensive small bowel resection.
Spillane
K
K
Department of Clinical Neurophysiology, St. Bartholomew's Hospital and Medical College, West Smithfield, London, UK.
Nagendran
K
K
Prior
P F
PF
Tabaqchali
S
S
Wilks
M
M
D000140:Acidosis, Lactic / Q000503:physiopathology*; D000328:Adult; D001921:Brain / Q000503:physiopathology; D004569:Electroencephalography / Q000379:methods*; D005260:Female; D006801:Humans