Valproate-induced hyperammonaemia in two epileptic identical twins |
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Authors: | R. Campostrini G. Zaccara L. Rossi M. Paganini A. Dorigotti R. Zappoli |
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Affiliation: | (1) Center for Epilepsy, 2nd Neurological Institute, University of Florence, Italy;(2) Department of Neurology, Viale Morgagni 85, 50134 Florence, Italy |
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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). |
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Keywords: | Valproic acid Hyperammonaemia Adverse effects Identical twins |
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