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38 Y/O with Liver Failure

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 AJNR article here.

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.