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Ammonia: what adult neurologists need to know
Practical Neurology ( IF 2.4 ) Pub Date : 2020-12-11 , DOI: 10.1136/practneurol-2020-002654
Rick Meijer 1, 2 , Umesh Vivekananda 3 , Simona Balestrini 3, 4 , Matthew Walker 3 , Robin Lachmann 2 , Johannes Haeberle 5 , Elaine Murphy 6
Affiliation  

Hyperammonaemia is often encountered in acute neurology and can be the cause of acute or chronic neurological symptoms. Patients with hyperammonaemia may present with seizures or encephalopathy, or may be entirely asymptomatic. The underlying causes are diverse but often straightforward to diagnose, although sometimes require specialist investigations. Haemodialysis or haemo(dia)filtration is the first-line treatment for acute severe hyperammonaemia (of any cause) in an adult. Here we discuss our approach to adult patients with hyperammonaemia identified by a neurologist.

中文翻译:


氨:成人神经科医生需要了解什么



高氨血症常见于急性神经病学,可能是急性或慢性神经系统症状的原因。高氨血症患者可能出现癫痫发作或脑病,或者可能完全无症状。根本原因多种多样,但通常很容易诊断,尽管有时需要专业调查。血液透析或血液(透析)滤过是成人急性严重高氨血症(任何原因)的一线治疗方法。在这里,我们讨论我们对神经科医生发现的高氨血症成年患者的治疗方法。
更新日期:2020-12-11
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