Pelsue Brittany, Rogg Jonathan G
Department of Pharmacy, Memorial Hermann-Texas Medical Center, 6411 Fannin Street, Houston, TX 77030, USA.
Case Rep Emerg Med. 2017;2017:9436095. doi: 10.1155/2017/9436095. Epub 2017 Dec 24.
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.
本报告描述了一例强直阵挛性癫痫持续状态后出现短暂高氨血症的病例，初始氨水平为537μmol/L。这似乎是该临床情况下文献报道的最高短暂氨水平。这证实了在无肝功能障碍的情况下，当与癫痫持续状态相关时，初始升高的氨水平应谨慎解读。应复查血氨水平以识别短暂高氨血症，并在血氨水平未下降时确定是否需要治疗。
