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Non-hyperammonaemia valproate-induced encephalopathy: A case report.

Ling Chen1, Zucai Xu1, Hao Huang1

  • 1Department of Neurology, The Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Journal of Clinical Pharmacy and Therapeutics
|August 31, 2021
PubMed
Summary

Valproate sodium can cause encephalopathy without high ammonia levels. Discontinuing this antiepileptic drug rapidly resolves symptoms, highlighting the importance of early diagnosis.

Keywords:
adverse effectencephalopathyepilepsynon-hyperammonaemiavalproate sodium

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Area of Science:

  • Neurology
  • Pharmacology

Background:

  • Valproate sodium is a widely used antiepileptic drug (AED).
  • Serious adverse effects are rare, but valproate-induced encephalopathy can occur.

Observation:

  • A case of a 47-year-old woman with epilepsy who developed valproate-induced encephalopathy.
  • This encephalopathy occurred without hyperammonaemia.
  • Symptoms resolved completely after valproate sodium withdrawal.

Findings:

  • Valproate-induced encephalopathy can manifest without hyperammonaemia.
  • Discontinuation of valproate sodium leads to rapid symptom resolution.

Implications:

  • Early diagnosis of non-hyperammonaemic valproate-induced encephalopathy is crucial.
  • Understanding the mechanisms is important for patient management.
  • Prompt withdrawal of valproate sodium is key for recovery.