ISSN:
1432-1920
Keywords:
Xylitol-infusions
;
calcium oxalate crystals in reno-cerebral vessel walls
;
perivascular inflammatory reactions and brain edema
;
computed tomography
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary A 20-year-old man suffering from Crohn's disease developed coma and generalized seizures following ileocecal resection. During postoperative parenteral feeding he received xylitol in an unusually high concentration. CT examinations a few days before death showed intense hypodensity and swelling of brainstem and basal ganglia and increasing triventricular dilatation. Autopsy revealed, mainly in the brainstem and cerebellum, a destruction of intracerebral, intracerebellar and leptomeningeal vessel walls by birefringent crystals (probably calcium oxalate), an early inflammatory reaction and severe brain edema with final tonsillar herniation. The same crystalloid deposits were found in the kidneys.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00342692
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