Neurological Disorders

Department of Neurology, Wesley Hospital, Australia

Publications

• Case Report   
  Hyperammonemic Encephalopathy Case Report in Multiple Myeloma
  Author(s): Razan Z. Isma*, Richard Baer and Jason Restall
  
  Background: Hyperammonemic encephalopathy is a rare cause of altered level of consciousness in patients. When investigating encephalopathy, common causes are ischaemic, metabolic, toxic, inflammation, demyelinating, degenerative, and hereditary and infection. In this case reports, we present a rare case of encephalopathy in a patient with hyperammonaemia on a background of multiple myeloma. Case presentation: A 67 year old Caucasian male with a background history of monoclonal gammopathy of undetermined significance, presented with confusion, asterixis and recurrent falls. As part of the work up he was found to have a high ammonia level at 123 umol/L (normal 0-50 umol/L). The patient also had a bone biopsy as he had mild pancytopenia and hyperproteinemia and was diagnosed with multiple myeloma, likely a progression from his paraproteinemia d.. Read More»
  DOI: 10.4172/2329-6895.10.11.524

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