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KMID : 0385920110220040382
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Journal of the Korean Society of Emergency Medicine
2011 Volume.22 No. 4 p.382 ~ p.386
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Valproic Acid-Induced Hyperammonemic Encephalopathy Initially Misdiagnosed as Nonconvulsive Status Epilepticus
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Ko Ji-Ae
Seo Il-Kyo
Park Jeong-Ho
Lee Tae-Kyeong
Park Sun-Ah
Cho Young-Soon
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Abstract
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Valproic acid-induced hyperammonemic encephalopathy (VHE) is a very rare but serious complication. Discontinuation of valproic acid is the first and critical step for treatment. VHE can occur in people with normal liver function, despite normal doses and serum levels of valproic acid, therefore it is very hard to predict. Recently, we experienced a case of VHE. Here we will present the clinical, laboratory and electroencephalography findings in this patient.
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KEYWORD
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Electroencephalography, Epilepsy, Valproic acid
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