Caminal L, Castellanos E, Mateos V, Astudillo A, Moreno C, Diéguez M A
Department of Internal Medicine, Hospital Central de Asturias, Oviedo, Spain.
J Intern Med. 1993 Mar;233(3):277-9. doi: 10.1111/j.1365-2796.1993.tb00987.x.
We observed a case of hyperammonaemic encephalopathy in a patient without liver dysfunction which revealed meningeal involvement of IgD multiple myeloma. We have reviewed briefly the hyperammonaemic syndrome and we believe that this diagnosis has to be considered in differential diagnosis of encephalopathies in patients with multiple myeloma.
我们观察到一例无肝功能障碍患者发生高氨血症性脑病，该病例显示IgD型多发性骨髓瘤累及脑膜。我们简要回顾了高氨血症综合征，认为在多发性骨髓瘤患者脑病的鉴别诊断中必须考虑这一诊断。
