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급성 고암모니아뇌병증의 가역적 돌발파억제양상

Reversible Burst-suppression Pattern of Acute Hyperammonemic Encephalopathy

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초록

Acute hyperammonemic encephalopathy is generally associated with severe liver disease, manifesting with neuropsychiatric symptoms including confusion, lethargy, seizure, coma, and even death. Electroencephalogram (EEG) is a proven diagnostic, prognostic, and therapeutic tool in patients with acute and chronic encephalopathies. EEG changes in acute hyperammonemic encephalopathy are associated with background slowing in theta to delta ranges, accompanied by presence of triphasic waves. We reported a patient with acute hyperammonemic encephalopathy showing an unusual burst-suppression pattern, which was reversible with proper treatment.

Abstract

Acute hyperammonemic encephalopathy is generally associated with severe liver disease, manifesting with neuropsychiatric symptoms including confusion, lethargy, seizure, coma, and even death. Electroencephalogram (EEG) is a proven diagnostic, prognostic, and therapeutic tool in patients with acute and chronic encephalopathies. EEG changes in acute hyperammonemic encephalopathy are associated with background slowing in theta to delta ranges, accompanied by presence of triphasic waves. We reported a patient with acute hyperammonemic encephalopathy showing an unusual burst-suppression pattern, which was reversible with proper treatment.

참고문헌 (10)

  1. Savy N, "Acute pediatric hyperammonemia : current diagnosis and management strategies", Hepat Med, 10, pp.105~115 (2018)
  2. Kaplan PW, "The EEG in metabolic encephalopathy and coma", J Clin Neurophysiol, 21, pp.307~318 (2004)
  3. Lemberg A, "Hepatic encephalopathy, ammonia, glutamate, glutamine and oxidative stress", Ann Hepatol, 8, pp.95~102 (2009)
  4. Auron A, "Hyperammonemia in review : pathophysiology, diagnosis, and treatment", Pediatr Nephrol, 27, pp.207~222 (2012)
  5. Reis E, "MRI findings in acute hyperammonemic encephalopathy : three cases of different etiologies : teaching point : to recognize MRI findings in acute hyperammonemic encephalopathy", J Belg Soc Radiol, 104, pp.9~ (2020)
  6. Liu J, "The pharmabiotic approach to treat hyperammonemia", Nutrients, 10, pp.140~ (2018)
  7. Alfadhel M, "Guidelines for acute management of hyperammonemia in the Middle East region", Ther Clin Risk Manag, 12, pp.479~487 (2016)
  8. Shanker A, "Etiology of burst suppression EEG patterns", Front Psychol, 12, pp.673529~ (2021)
  9. Leidi A, "Malnutrition-related hyperammonemic encephalopathy presenting with burst suppression : a case report", J Med Case Rep, 13, pp.248~ (2019)
  10. Ching S, "A neurophysiological-metabolic model for burst suppression", Proc Natl Acad Sci USA, 109, pp.3095~3100 (2012)

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