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    Rev Neurol (Paris). 2009 Mar;165(3):268-72. Epub 2008 Aug 27.

    [Star fruit (Averrhoa carambola) toxic encephalopathy].

    [Article in French]

    Source

    Service de neurologie, centre hospitalo-universitaire, BP 632, 97200 Fort-de-France, Martinique. asignate@orange.fr

    Abstract

    Ingestion of star fruit (Averrhoa carambola) can induce severe intoxication in subjects with chronic renal failure. Oxalate plays a key role in the neurotoxicity of star fruit. We report the cases of two patients with unknown chronic renal insufficiency who developed severe encephalopathy after ingestion of star fruit. The two patients developed intractable hiccups, vomiting, impaired consciousness and status epilepticus. Diffusion-weighted MR imaging showed cortical and thalamic hyperintense lesions related to epileptic status. They improved after being submitted to continuous hemofiltration which constitutes the most effective treatment during the acute phase.

    PMID:
    18755486
    [PubMed - indexed for MEDLINE]

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