38yo male w/ long alcohol history, hepatic failure and seizures
Ammonia 211 (normal = 9-33 mcmol/L)
Dx – Acute hyperammonemic encephalopathy associated with liver failure.
Read the Neurohospitalist article here.
References:
1. U-King-Im JM, Bartlett E, Soobrah R, Kucharczyk W. AJNR: Feb. 2011 – vol. 32, pp. 413-418.
2. Rosario M, McMahon K, Finelli P. The Neurohospitalist: Jul. 2013 – vol. 3, issue 3, pp. 125-130.