A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency Department

A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency Department

This report describes a case of transient hyperammonemia following tonic-clonic status epilepticus with an initial ammonia level of 537 Umol/L. This appears to be the highest transient ammonia level reported in the literature in this clinical scenario. This is an affirmation that an initial elevated...

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Main Authors: Brittany Pelsue, Jonathan G. Rogg
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Emergency Medicine
Online Access:http://dx.doi.org/10.1155/2017/9436095
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spelling doaj-f1b7ed3dd9ce41aa9ea002358611ee172020-11-24T22:51:32ZengHindawi LimitedCase Reports in Emergency Medicine2090-648X2090-64982017-01-01201710.1155/2017/94360959436095A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency DepartmentBrittany Pelsue0Jonathan G. Rogg1Department of Pharmacy, Memorial Hermann-Texas Medical Center, 6411 Fannin Street, Houston, TX 77030, USADepartment of Pharmacy, Memorial Hermann-Texas Medical Center, 6411 Fannin Street, Houston, TX 77030, USAThis report describes a case of transient hyperammonemia following tonic-clonic status epilepticus with an initial ammonia level of 537 Umol/L. This appears to be the highest transient ammonia level reported in the literature in this clinical scenario. This is an affirmation that an initial elevated ammonia level in the absence of hepatic dysfunction should be interpreted with caution when associated with status epilepticus. Repeat levels should be drawn to identify transient hyperammonemia and determine the need for treatment if levels do not decrease.http://dx.doi.org/10.1155/2017/9436095
collection DOAJ
language English
format Article
sources DOAJ
author Brittany Pelsue
Jonathan G. Rogg
spellingShingle Brittany Pelsue
Jonathan G. Rogg
A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency Department
Case Reports in Emergency Medicine
author_facet Brittany Pelsue
Jonathan G. Rogg
author_sort Brittany Pelsue
title A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency Department
title_short A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency Department
title_full A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency Department
title_fullStr A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency Department
title_full_unstemmed A Case of Status-Epilepticus-Associated Transient Hyperammonemia in the Emergency Department
title_sort case of status-epilepticus-associated transient hyperammonemia in the emergency department
publisher Hindawi Limited
series Case Reports in Emergency Medicine
issn 2090-648X
2090-6498
publishDate 2017-01-01
description This report describes a case of transient hyperammonemia following tonic-clonic status epilepticus with an initial ammonia level of 537 Umol/L. This appears to be the highest transient ammonia level reported in the literature in this clinical scenario. This is an affirmation that an initial elevated ammonia level in the absence of hepatic dysfunction should be interpreted with caution when associated with status epilepticus. Repeat levels should be drawn to identify transient hyperammonemia and determine the need for treatment if levels do not decrease.
url http://dx.doi.org/10.1155/2017/9436095
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AT jonathangrogg acaseofstatusepilepticusassociatedtransienthyperammonemiaintheemergencydepartment
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