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Valproate-induced hyperammonaemia in two epileptic identical twins
Authors:R. Campostrini  G. Zaccara  L. Rossi  M. Paganini  A. Dorigotti  R. Zappoli
Affiliation:(1) Center for Epilepsy, 2nd Neurological Institute, University of Florence, Italy;(2) Department of Neurology, Viale Morgagni 85, 50134 Florence, Italy
Abstract:Summary The cases of two epileptic identical twins are described, one of whom had presented an episode of valproate (VPA)-induced stupor associated with very high blood ammonia (NH3) concentrations. Both twins showed a similar marked increase of venous NH3 concentrations after the administration of a single loading dose of VPA (800 mg).
Keywords:Valproic acid  Hyperammonaemia  Adverse effects  Identical twins
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