Sudden severe hyperammonemia and status epilepticus -a case report-
There are various causes to a low level of consciousness in patients in the intensive care unit. Neurological injury, infection, and metabolic disarray are considered as some of the causes. A 39 year-old female patient was transferred to our hospital with septic shock due to ascending colon perforat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2013-09-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-65-262.pdf |
| _version_ | 1818238343767392256 |
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| author | Woo-Kyung Shin Young-Eun Jang Hannah Lee Se-Hee Min Ho-Geol Ryu |
| author_facet | Woo-Kyung Shin Young-Eun Jang Hannah Lee Se-Hee Min Ho-Geol Ryu |
| author_sort | Woo-Kyung Shin |
| collection | DOAJ |
| description | There are various causes to a low level of consciousness in patients in the intensive care unit. Neurological injury, infection, and metabolic disarray are considered as some of the causes. A 39 year-old female patient was transferred to our hospital with septic shock due to ascending colon perforation. The patient had previously received ovarian cancer surgery and a cycle of chemotherapy at another hospital. Emergent operation for colon perforation was successful. After the operation, she was treated in the intensive care unit for infectious and pulmonary complications. She suddenly showed deterioration in her level of consciousness and had a generalized seizure. At the time of her seizure, she had severe hyperammonemia. Brain CT showed severe cerebral edema that was absent in the CT scan taken 2 days before. Continuous renal replacement therapy was conducted but was ineffective in lowering the level of serum ammonia and the patient subsequently died. |
| first_indexed | 2024-12-12T12:40:09Z |
| format | Article |
| id | doaj.art-88c98b5328d14e6cb4d9d841942a7efd |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-12T12:40:09Z |
| publishDate | 2013-09-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-88c98b5328d14e6cb4d9d841942a7efd2022-12-22T00:24:13ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632013-09-0165326226510.4097/kjae.2013.65.3.2627655Sudden severe hyperammonemia and status epilepticus -a case report-Woo-Kyung Shin0Young-Eun Jang1Hannah Lee2Se-Hee Min3Ho-Geol Ryu4Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.There are various causes to a low level of consciousness in patients in the intensive care unit. Neurological injury, infection, and metabolic disarray are considered as some of the causes. A 39 year-old female patient was transferred to our hospital with septic shock due to ascending colon perforation. The patient had previously received ovarian cancer surgery and a cycle of chemotherapy at another hospital. Emergent operation for colon perforation was successful. After the operation, she was treated in the intensive care unit for infectious and pulmonary complications. She suddenly showed deterioration in her level of consciousness and had a generalized seizure. At the time of her seizure, she had severe hyperammonemia. Brain CT showed severe cerebral edema that was absent in the CT scan taken 2 days before. Continuous renal replacement therapy was conducted but was ineffective in lowering the level of serum ammonia and the patient subsequently died.http://ekja.org/upload/pdf/kjae-65-262.pdfhyperammonemiaseizuresstatus epilepticus |
| spellingShingle | Woo-Kyung Shin Young-Eun Jang Hannah Lee Se-Hee Min Ho-Geol Ryu Sudden severe hyperammonemia and status epilepticus -a case report- Korean Journal of Anesthesiology hyperammonemia seizures status epilepticus |
| title | Sudden severe hyperammonemia and status epilepticus -a case report- |
| title_full | Sudden severe hyperammonemia and status epilepticus -a case report- |
| title_fullStr | Sudden severe hyperammonemia and status epilepticus -a case report- |
| title_full_unstemmed | Sudden severe hyperammonemia and status epilepticus -a case report- |
| title_short | Sudden severe hyperammonemia and status epilepticus -a case report- |
| title_sort | sudden severe hyperammonemia and status epilepticus a case report |
| topic | hyperammonemia seizures status epilepticus |
| url | http://ekja.org/upload/pdf/kjae-65-262.pdf |
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