D-lactic acidosis can cause which neurological changes?

D-lactic acidosis is a condition that arises when there is an accumulation of D-lactic acid in the body, often due to certain metabolic disorders or conditions like short bowel syndrome. The accumulation of D-lactic acid can lead to neurological changes, primarily through its effects on the central nervous system. In this context, confusion and ataxia are particularly relevant as they are notable manifestations of the condition.

Confusion can occur due to the disruption in normal neurochemical signaling, which can affect cognition and understanding. Ataxia, characterized by a lack of voluntary coordination of muscle movements, can arise as the body struggles to properly process the metabolic changes associated with elevated D-lactic acid levels. These neurological symptoms reflect the direct impact of this specific type of acidosis on the brain’s function and coordination.

While other symptoms of D-lactic acidosis may include general malaise, fatigue, or gastrointestinal disturbances, the combination of confusion and ataxia is distinctly tied to the neurological effects of metabolic derangements related to D-lactic acid. This understanding helps in identifying and managing the symptoms effectively in patients presenting with this condition.