Epileptic disorders : international epilepsy journal with videotape

The most recent articles from: Epileptic Disord June 2013

Epileptic Disord · Jun 2013

Case Reports

Valproic acid-induced hyperammonaemic coma and unrecognised portosystemic shunt.

Hyperammonaemic encephalopathy is a rare and potentially fatal complication of valproic acid treatment. The clinical presentation of hyperammonaemic encephalopathy is wide and includes seizures and coma. ⋯ The portal vein bypass led to a refractory, valproic acid-induced hyperammonaemic coma. The patient fully recovered after dialysis treatment.

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