Original article Hyperammonemia Cholesterol Ammonia Triglycerides Phospholipids Free fatty acids Pongamia pinnata

The combination of valproic acid and topiramate has been shown to increase the risk of encephalopathy.1-5 Certain authors have proposed that this combination evokes a synergistic mechanism that produces hyperammonemia, which in turn results in encephalopathy.2,6 Described here is a case of encephalopathy potentially induced by the combination of valproic acid and topiramate, in which serial ser...

Fibrolamellar hepatocellular carcinoma is a rare hepatocellular tumor usually arising in noninfected and noncirrhotic livers. Only 2 cases accompanied by hyperammonemia due to intrahepatic shunting have been reported. A 23-year-old white woman presented with a 2-week history of nausea, vomiting, generalized weakness, and intermittent right upper quadrant pain. Abdominal computerized tomography ...

A 76 year old lady presented with altered sensorium and was found to have hyperammonemia on evaluation. She had no evidence of liver disease. For her symptomatology of backache, evaluation by bone marrow study showed evidence of multiple myeloma. She was given chemotherapy for multiple myeloma, which resulted in improvement in her sensorium, along with this there was also a rapid decline in ser...

well-known effects on lowering blood ammonia concentrations by increasing urea synthesis [1]. Moreover, accumulating evidence suggests that L-ornithine aspartate restores muscle protein synthesis, an effect which can be exploited in patients suffering from cancer or HIV infections [2]. Other studies showed significant improvements of clinical values and liver function in patients undergoing rad...