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15 November 2022 : Case report  

Late-Onset Ornithine Transcarbamylase Deficiency Complicated with Extremely High Serum Ammonia Level: Prompt Induction of Hemodialysis as the Key to Successful Treatment

Satsuki Yamamoto12AEF, Shun Yamashita ORCID logo1AEF*, Toshihiko Kakiuchi ORCID logo3AE, Kazuya Kurogi14AEF, Tomoyo M. Nishi1AEF, Masaki Tago ORCID logo1AEF, Shu-ichi Yamashita1AEF

DOI: 10.12659/AJCR.937658

Am J Case Rep 2022; 23:e937658

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Figure 3. Cranial computed tomography findings on hospital days 3 and 5. (A, B) on hospital day 3, (C, D) on hospital day 5. Cranial computed tomography on hospital day 3 shows whole-brain edema with an indistinct cortico-medullary junction at the base of the brain. There is narrowing of the Sylvian fissure (A, arrows) and lateral ventricles (B, arrowheads) with no abnormal findings in the basal ganglia. Cranial computed tomography on hospital day 5 shows the marked improvements in whole-brain edema, the indistinctness of the cortico-medullary junction, and the narrowing of the Sylvian fissure (C, arrows). The narrowing of the lateral ventricles has persisted (D, arrowheads).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923