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http://dx.doi.org/10.1007/s00134-012-2736-4 | DOI Listing |
Cureus
August 2024
Neurology, Henry Ford Health System, Detroit, USA.
BMJ Case Rep
November 2023
Psychiatry, Gold Coast University Hospital, Southport, Queensland, Australia.
There is limited information about sodium valproate-induced hyperammonaemia encephalopathy (VPAIHE). The aim of this case report is to provide medical practitioners with a greater awareness of the possible development of hyperammonaemia due to sodium valproate use and its associated complications.This paper describes a middle-aged man with a history of bipolar affective disorder who was admitted with a manic relapse secondary to medication non-compliance.
View Article and Find Full Text PDFAACE Clin Case Rep
April 2023
Department of Medicine, Section of Endocrinology, Marshall University School of Medicine, Huntington, West Virginia.
Background/objective: To illustrate an unusual case of type 2 diabetes mellitus (T2DM) developing many years after the diagnosis of hyperinsulinism hyperammonemia (HI/HA) syndrome.
Case Report: This article reports about a 36-year-old female with a history of congenital hyperinsulinism due to HI/HA syndrome, which was diagnosed in infancy. The patient presented with hypoglycemia and seizures as an infant and was treated with diazoxide and a low-protein diet for many years with reduction in her hypoglycemic events.
JHEP Rep
July 2023
Department of Hepatology and Gastroenterology, Aarhus University Hospital, Denmark.
Mechanistically, the symptomatology and disease progression of non-alcoholic fatty liver disease (NAFLD) remain poorly understood, which makes therapeutic progress difficult. In this review, we focus on the potential importance of decreased urea cycle activity as a pathogenic mechanism. Urea synthesis is an exclusive hepatic function and is the body's only on-demand and definitive pathway to remove toxic ammonia.
View Article and Find Full Text PDFCureus
May 2023
Pulmonary and Critical Care Medicine, One Brooklyn Health/ Interfaith Medical Center, Brooklyn, USA.
Hyperammonemic encephalopathy (HE) can be broadly defined as an alteration in the level of consciousness due to elevated blood ammonia level. While hepatic cirrhosis is the most common cause of HE, non-hepatic causes like drugs, infections, and porto-systemic shunts can also lead to the presentation. In this case, we highlight an unusual occurrence of recurrent non-cirrhotic HE from obstructive urinary tract infection (UTI) with urea-splitting micro-organisms in an elderly male patient.
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