{"id":1971,"date":"2013-10-01T01:00:00","date_gmt":"2013-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/"},"modified":"2018-10-20T18:40:08","modified_gmt":"2018-10-20T16:40:08","slug":"des-confusions-trompeuses","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/","title":{"rendered":"Des confusions trompeuses&#8230;"},"content":{"rendered":"<p><strong>2013<\/strong><\/p>\n<p><em>Jaubert L.(1), Issa A.(1), Teil C.(2), Dambron P.(3), Duhamel O.(1)<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02013-04-09 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>QUIZZ<\/p>\n<p>N\u00e9e en 1938, madame B&#8230;est hospitalis\u00e9e \u00e0 plusieurs reprises en Neurologie \u00e0 B\u00e9ziers pour des troubles confusionnels r\u00e9cidivants.<br \/>\nCes \u00e9pisodes ont d\u00e9but\u00e9 un an plus t\u00f4t \u00e0 l&rsquo;\u00e2ge de 70 ans.<br \/>\nOutre l\u2019ex\u00e9r\u00e8se d&rsquo;un nodule thyro\u00efdien en 1990, elle est trait\u00e9e et bien \u00e9quilibr\u00e9e pour HTA, fibrillation atriale et diab\u00e8te par Flecaine LP150, Cardensiel5, Plavix, Ezetrol 10 et Januvia.<br \/>\nCes troubles surviennent sans facteur d\u00e9clenchant apparent, et sont faits de d\u00e9sorientation temporo-spatiale, d&rsquo;alt\u00e9ration du comportement, d&rsquo;anomalies du langage avec id\u00e9es d\u00e9lirantes. Ils durent 3 \u00e0 4 jours et r\u00e9gressent sans s\u00e9quelles laissant un souvenir tr\u00e8s d\u00e9sagr\u00e9able  sans amn\u00e9sie.<br \/>\nl&rsquo;examen est normal, TA 14\/07, 65kg, 1,46m, PO 94cm.<br \/>\nHyperamoni\u00e9mie  sans garrot 1,65mg\/l (N inf.\u00e0 0,56) thrombop\u00e9nie 10000, TP 77%, ASAT, ALAT, PA et gamma GT normales. Virus B et C absent, recherche immunologique n\u00e9gative.<br \/>\nEEG \u00e9vocateur d&rsquo;un \u00e9tat de mal confusionnel ou d&rsquo;une enc\u00e9phalopathie m\u00e9tabolique; IRM c\u00e9r\u00e9brale normale pour l&rsquo;age, l&rsquo;\u00e9chographie abdominale montre une st\u00e9atose homog\u00e8ne et la gastroscopie n&rsquo;\u00e9claire pas de signe nets d&rsquo;HTP.<br \/>\nUne biopsie h\u00e9patique percutan\u00e9e confirme la st\u00e9atose isol\u00e9e.<br \/>\nMme. B&#8230; est trait\u00e9e sans succ\u00e8s, d&rsquo;abord comme \u00e9pileptique par Keppra puis Lamictal. ensuite sur la suspicion d&rsquo;une anomalie du cycle de l&rsquo;ur\u00e9e par Arginine.<br \/>\nApr\u00e8s avis et hospitalisation universitaire, chromatographie des acides amin\u00e9s, recherche de mutation du g\u00eane OTC, l&rsquo;arginine est remplac\u00e9e par le benzoate de sodium l\u00e0 encore sans effet.<br \/>\nFin 2012 un rendez vous est pris dans une autre universit\u00e9 parisienne celle l\u00e0&#8230;<\/p>\n<p>(1) service de gastro ent\u00e9rologie, (2) service de neurologie, (3) service de chirurgie visc\u00e9rale.<br \/>\ncentre hospitalier 2 rue Valentin Hau\u00ff 34500 B\u00e9ziers.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2013 Jaubert L.(1), Issa A.(1), Teil C.(2), Dambron P.(3), Duhamel O.(1) H\u00e9patologie &#8211; \u00a02013-04-09 &#8211;\u00a0CO &#8211; ________________________________ QUIZZ N\u00e9e en 1938, madame B&#8230;est hospitalis\u00e9e \u00e0 plusieurs reprises en Neurologie \u00e0 B\u00e9ziers pour des troubles confusionnels r\u00e9cidivants. Ces \u00e9pisodes ont d\u00e9but\u00e9 un an plus t\u00f4t \u00e0 l&rsquo;\u00e2ge de 70 ans. Outre l\u2019ex\u00e9r\u00e8se d&rsquo;un nodule thyro\u00efdien en [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[24],"class_list":["post-1971","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-24"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Des confusions trompeuses... - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Des confusions trompeuses... - Abstracts des congr\u00e8s de l&#039;ANGH\" \/>\n<meta property=\"og:description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta property=\"og:url\" content=\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/\" \/>\n<meta property=\"og:site_name\" content=\"Abstracts des congr\u00e8s de l&#039;ANGH\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\" \/>\n<meta property=\"article:published_time\" content=\"2013-10-01T00:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-10-20T16:40:08+00:00\" \/>\n<meta name=\"author\" content=\"abstracts\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"abstracts\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/\"},\"author\":{\"name\":\"abstracts\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1\"},\"headline\":\"Des confusions trompeuses&#8230;\",\"datePublished\":\"2013-10-01T00:00:00+00:00\",\"dateModified\":\"2018-10-20T16:40:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/\"},\"wordCount\":326,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"keywords\":[\"2013\"],\"articleSection\":[\"Hepatologie\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/\",\"url\":\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/\",\"name\":\"Des confusions trompeuses... - Abstracts des congr\u00e8s de l&#039;ANGH\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#website\"},\"datePublished\":\"2013-10-01T00:00:00+00:00\",\"dateModified\":\"2018-10-20T16:40:08+00:00\",\"description\":\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\",\"breadcrumb\":{\"@id\":\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/angh.net\/abstracts\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Des confusions trompeuses&#8230;\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/angh.net\/abstracts\/#website\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"name\":\"Abstracts des congr\u00e8s de l&#039;ANGH\",\"description\":\"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003\",\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/angh.net\/abstracts\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\",\"name\":\"ANGH\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"contentUrl\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"width\":48,\"height\":18,\"caption\":\"ANGH\"},\"image\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1\",\"name\":\"abstracts\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"caption\":\"abstracts\"},\"url\":\"https:\/\/angh.net\/abstracts\/author\/abstracts\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Des confusions trompeuses... - Abstracts des congr\u00e8s de l&#039;ANGH","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/","og_locale":"fr_FR","og_type":"article","og_title":"Des confusions trompeuses... - Abstracts des congr\u00e8s de l&#039;ANGH","og_description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","og_url":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/","og_site_name":"Abstracts des congr\u00e8s de l&#039;ANGH","article_publisher":"https:\/\/www.facebook.com\/ANGH-2136322560030484\/","article_published_time":"2013-10-01T00:00:00+00:00","article_modified_time":"2018-10-20T16:40:08+00:00","author":"abstracts","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"abstracts","Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/#article","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/"},"author":{"name":"abstracts","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1"},"headline":"Des confusions trompeuses&#8230;","datePublished":"2013-10-01T00:00:00+00:00","dateModified":"2018-10-20T16:40:08+00:00","mainEntityOfPage":{"@id":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/"},"wordCount":326,"commentCount":0,"publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"keywords":["2013"],"articleSection":["Hepatologie"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/","url":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/","name":"Des confusions trompeuses... - Abstracts des congr\u00e8s de l&#039;ANGH","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/#website"},"datePublished":"2013-10-01T00:00:00+00:00","dateModified":"2018-10-20T16:40:08+00:00","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","breadcrumb":{"@id":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/angh.net\/abstracts\/des-confusions-trompeuses\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/angh.net\/abstracts\/"},{"@type":"ListItem","position":2,"name":"Des confusions trompeuses&#8230;"}]},{"@type":"WebSite","@id":"https:\/\/angh.net\/abstracts\/#website","url":"https:\/\/angh.net\/abstracts\/","name":"Abstracts des congr\u00e8s de l&#039;ANGH","description":"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003","publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/angh.net\/abstracts\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/angh.net\/abstracts\/#organization","name":"ANGH","url":"https:\/\/angh.net\/abstracts\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/","url":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","contentUrl":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","width":48,"height":18,"caption":"ANGH"},"image":{"@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ANGH-2136322560030484\/"]},{"@type":"Person","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1","name":"abstracts","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","caption":"abstracts"},"url":"https:\/\/angh.net\/abstracts\/author\/abstracts\/"}]}},"_links":{"self":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/1971","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/comments?post=1971"}],"version-history":[{"count":0,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/1971\/revisions"}],"wp:attachment":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/media?parent=1971"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/categories?post=1971"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/tags?post=1971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}