{"id":1931,"date":"2010-09-16T11:55:00","date_gmt":"2010-09-16T16:55:00","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/2010\/09\/16\/criterios-diagnosticos-de-encefalopatia-metabolica"},"modified":"2010-09-16T11:55:00","modified_gmt":"2010-09-16T16:55:00","slug":"criterios-diagnosticos-de-encefalopatia-metabolica","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=1931","title":{"rendered":"Criterios diagn\u00f3sticos de encefalopat\u00eda metab\u00f3lica."},"content":{"rendered":"
\u00a0<\/h5>\n\n\n\n
\n

1. Inicio gradual (en horas).
2. Progresi\u00f3n en pacientes no tratados.
3. Disminuci\u00f3n gradual del nivel de consciencia.
4. Pacientes tratados con varios medicamentos depresores del SNC.
5. Pacientes con alg\u00fan fracaso org\u00e1nico, postoperatorios, trastornos\u00a0\u00a0\u00a0\u00a0 hidroelectrol\u00edticos, enfermedades endocrinol\u00f3gicas.
6. Sin evidencia de tumor cerebral o AVC, generalmente sin focalidades excepto hipoglucemia.
7. A veces precedido por convulsiones focales o generalizadas.
8. Aumento espont\u00e1neo de la actividad motora (asterixis, mioclonias, rigidez, etc.).
9. Alteraciones en la bioqu\u00edmica plasm\u00e1tica, GSA y hemograma.
10. Generalmente normalidad en los estudios de imagen.
11. Alteraciones generalizadas en el EEG (enlentecimiento, ondas trif\u00e1sicas).
12. Recuperaci\u00f3n gradual al iniciar el tratamiento.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Fuente: Ravin PD, Walsh FX: Metabolic encephalopathy. En: Rippe JM, Irwin RS, Alper JS, Fink MP: Intensive Care Medicine. Little, Brown Co, Boston 1991:1553-1561<\/p>\n

<\/div>\n","protected":false},"excerpt":{"rendered":"

\u00a0 1. Inicio gradual (en horas). 2. Progresi\u00f3n en pacientes no tratados. 3. Disminuci\u00f3n gradual del nivel de consciencia. 4. Pacientes tratados con varios medicamentos depresores del SNC. 5. Pacientes con alg\u00fan fracaso org\u00e1nico, postoperatorios, trastornos\u00a0\u00a0\u00a0\u00a0 hidroelectrol\u00edticos, enfermedades endocrinol\u00f3gicas. 6. Sin evidencia de tumor cerebral o AVC, generalmente sin focalidades excepto hipoglucemia. 7. A veces … Continue reading “Criterios diagn\u00f3sticos de encefalopat\u00eda metab\u00f3lica.”<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15],"tags":[],"class_list":["post-1931","post","type-post","status-publish","format-standard","hentry","category-neurologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1931","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1931"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1931\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}