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Hyperammonemic encephalopathy due to suture line breakdown after bladder operation
W Boogerd1, F A Zoetmulder, D Moffie
1Department of Neurology, Netherlands Cancer Institute (Antoni van Leeuwenhoekhuis), Amsterdam.
Clinical Neurology and Neurosurgery
|January 1, 1990
Abstract:
A patient is described with a severe encephalopathy and hyperammonemia in absence of liver dysfunction, attributed to urine absorption into the systemic circulation due to suture line breakdown after bladder dome resection. At autopsy characteristic Alzheimer type II astrocytes were found in the basal ganglia.