Brain MR imaging in acute hyperammonemic: Case report

Acute hyperammonemic encephalopathy is rare and generally is not widely known; only a few pediatric cases were found in the literature. These lesions’ clinical presentation differs significantly so they can mimic other lesions. In this case report, we discuss a 5-year-old boy who presented with gene...

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Main Authors: Soukaina WAKRIM, MD, Adel El MEKKAOUI, MD, Othmane BENLENDA, MD, Khalila NAINIA, MD, Hicham NASSIK, MD
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322006057
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author Soukaina WAKRIM, MD
Adel El MEKKAOUI, MD
Othmane BENLENDA, MD
Khalila NAINIA, MD
Hicham NASSIK, MD
author_facet Soukaina WAKRIM, MD
Adel El MEKKAOUI, MD
Othmane BENLENDA, MD
Khalila NAINIA, MD
Hicham NASSIK, MD
author_sort Soukaina WAKRIM, MD
collection DOAJ
description Acute hyperammonemic encephalopathy is rare and generally is not widely known; only a few pediatric cases were found in the literature. These lesions’ clinical presentation differs significantly so they can mimic other lesions. In this case report, we discuss a 5-year-old boy who presented with generalized seizures and was unconscious in an apyretic context, for which she had a cranial computed tomographic and magnetic resonance imaging, both objectified an acute hyperammonemic encephalopathy resulting from an enzyme deficiency. Magnetic resonance imaging revealed lesions throughout the cortex, with the perirolandic and occipital cortices spared. This distribution of cerebral signal abnormalities on magnetic resonance imaging with an abrupt and profound neurological disorder is secondary to hyperammonemic. The knowledge of the magnetic resonance imaging results of this entity is essential to accelerate the diagnosis, and treatment, also to prevent sequelae.
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spelling doaj.art-c29725b743f341589b6a2ec1e71cd94f2022-12-22T01:26:55ZengElsevierRadiology Case Reports1930-04332022-10-01171040464048Brain MR imaging in acute hyperammonemic: Case reportSoukaina WAKRIM, MD0Adel El MEKKAOUI, MD1Othmane BENLENDA, MD2Khalila NAINIA, MD3Hicham NASSIK, MD4Radiology Department, Faculty of Medicine and Pharmacy, CHU Souss Massa, Ibn Zohr University, Agadir, Morocco; Corresponding author.Intensive Care Anaesthesia Department, Faculty of Medicine and Pharmacy, CHU Souss Massa, Ibn Zohr University, Agadir, MoroccoIntensive Care Anaesthesia Department, Faculty of Medicine and Pharmacy, CHU Souss Massa, Ibn Zohr University, Agadir, MoroccoPediatric Department, Faculty of Medicine and Pharmacy, CHU Souss Massa, Ibn Zohr University, Agadir, MoroccoIntensive Care Anaesthesia Department, Faculty of Medicine and Pharmacy, CHU Souss Massa, Ibn Zohr University, Agadir, MoroccoAcute hyperammonemic encephalopathy is rare and generally is not widely known; only a few pediatric cases were found in the literature. These lesions’ clinical presentation differs significantly so they can mimic other lesions. In this case report, we discuss a 5-year-old boy who presented with generalized seizures and was unconscious in an apyretic context, for which she had a cranial computed tomographic and magnetic resonance imaging, both objectified an acute hyperammonemic encephalopathy resulting from an enzyme deficiency. Magnetic resonance imaging revealed lesions throughout the cortex, with the perirolandic and occipital cortices spared. This distribution of cerebral signal abnormalities on magnetic resonance imaging with an abrupt and profound neurological disorder is secondary to hyperammonemic. The knowledge of the magnetic resonance imaging results of this entity is essential to accelerate the diagnosis, and treatment, also to prevent sequelae.http://www.sciencedirect.com/science/article/pii/S1930043322006057Hyperammonemic encephalopathyMagnetic resonance imagingPediatric
spellingShingle Soukaina WAKRIM, MD
Adel El MEKKAOUI, MD
Othmane BENLENDA, MD
Khalila NAINIA, MD
Hicham NASSIK, MD
Brain MR imaging in acute hyperammonemic: Case report
Radiology Case Reports
Hyperammonemic encephalopathy
Magnetic resonance imaging
Pediatric
title Brain MR imaging in acute hyperammonemic: Case report
title_full Brain MR imaging in acute hyperammonemic: Case report
title_fullStr Brain MR imaging in acute hyperammonemic: Case report
title_full_unstemmed Brain MR imaging in acute hyperammonemic: Case report
title_short Brain MR imaging in acute hyperammonemic: Case report
title_sort brain mr imaging in acute hyperammonemic case report
topic Hyperammonemic encephalopathy
Magnetic resonance imaging
Pediatric
url http://www.sciencedirect.com/science/article/pii/S1930043322006057
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