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  • Title: [Reversible dialytic encephalopathy after interruption of aluminium intake. 6 cases (author's transl)].
    Author: Buge A, Poisson M, Masson S, Bleibel JM, Mashaly R, Jaudon MC, Lafforgue B, Lebkiri B, Raymond P.
    Journal: Nouv Presse Med; 1979 Sep 10; 8(34):2729-33. PubMed ID: 493078.
    Abstract:
    The cases presented with psychic troubles and repeated somnolence episodes accompanied by dysarthria in 5 cases, myoclonic jerks in 4 cases and epileptic seizures in 1 case. In all cases the EEG was disturbed. It showed symetrical, paroxystic, bilateral, monomorph slow activity with more or less frequent paroxysms. The average serum aluminium level was at 407 microgram/l in the acute phase, at 161 microgram/l in the remission phase and at 123 microgram/l three months later. After interruption of oral and dialytic aluminium intake the remission is maintained. However in 2 cases the transitory readministration of aluminium gel was followed by reversible recurrency. The role of both aluminium gel and dialysate aluminium as the origin of encephalopathy is discussed.
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