Medknow Publications on behalf of the Neurological Society of India
Vol. 55, No. 4, 2007, pp. 413-415
Bioline Code: ni07122
Full paper language: English
Document type: Case Report
Document available free of charge
Neurology India, Vol. 55, No. 4, 2007, pp. 413-415
© Copyright 2007 Neurology India.
Case Report - Acute intermittent porphyria presenting with neurological emergency: Review of six cases|
Kochar, Dhanpat K; Pal, Mahender; Kochar, Sanjay Kumar; Vyas, Arvind; Kochar, Abhishek; Bindal, Dinesh & Agrawal, Rajender Prasad
Acute intermittent porphyria presenting with short duration of gastrointestinal symptoms followed by rapidly progressive fulminant neurological syndrome during first attack is relatively uncommon. It is a neurological emergency and mimics many other psychiatric and medical disorders and can be fatal if it remains undiagnosed and untreated. Further, specific treatment in the form of Heme arginate is not universally available and very costly, so high clinical suspicion and early diagnosis and management of acute attack and prevention of further attacks are very important. We report a series of six cases who presented with convulsion and/or polyneuropathy early in the course of disease to highlight this fact.
Acute intermittent porphyria, convulsion, neurological emergency
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