Journal
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION
Volume 25, Issue 8, Pages 863-867Publisher
ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER
DOI: 10.1016/j.annfar.2006.03.011
Keywords
encephalopathy; sepsis
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Sepsis-associated encephalopathy is a global cerebral dysfunction induced by the systemic response to inflammation and infection, without a liver or renal injury. Alteration of consciousness, from confusion to coma, is the main clinical symptom. This encephalopathy is associated with an increase in mortality due to sepsis. Its physiopathology is unknown. There is frequently an increased permeability of the blood-brain barrier, Which might explain a role of endotoxins on cerebral metabolism., Changes in neurotransmitter release or concentrations (norepinephrine, serotonin, dopamine, GABA) have been reported. There is not any specific treatment of septic encephalopathy. In most cases, this syndrome is rapidly reversible after the treatment of sepsis. (c) 2006 Elsevier SAS. Tous droits reserves.
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