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JOURNAL ARTICLE

Severe lactic acidosis following alcohol related generalised seizures

J Hulme, N Sherwood
Anaesthesia 2004, 59 (12): 1228-30
15549986
A 45-year-old alcoholic man presented following several short grand-mal seizures. He was not known to be epileptic. Initial investigations demonstrated a severe lactic acidosis. The rise in lactate was one of the highest levels reported in similar patients. The patient recovered within 4 h of management with oxygen, fluids and sodium bicarbonate. Lactic acidosis following convulsions is often associated with spontaneous resolution and a favourable outcome.

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