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Updated: Feb 13, 2026

The Hypoxic Ischemic Encephalopathy Model of Perinatal Ischemia
Published on: November 19, 2008
Valproate-induced Hyperammonemic Encephalopathy Presenting as Catatonia
Rodrigo Pérez-Esparza1,2, Nelcy Oñate-Cadena1, Jesús Ramírez-Bermúdez1
1Department of Neuropsychiatry, National Institute of Neurology and Neurosurgery.
Abstract:
Hyperammonemic encephalopathy secondary to the use of valproate is rare without evidence of hepatotoxicity, and it usually presents with confusion, agitation, irritability, cognitive disturbances, lethargy, coma, and death. We present the case of a 21-year-old woman presenting with catatonia as a manifestation of hyperammonemic encephalopathy that resolved with the normalization of ammonia and suspension of valproate.
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