Refractory Hyperammonemic Encephalopathy as a Paraneoplastic Presentation of Fibrolamellar Hepatocellular Carcinoma: A Case Report

24 August 2026 : Case report USA

Management of emergency care, Rare disease

Ritwik Dey

^{ABDEF 1*}, Harshitha Popuri^{ABDEF 1}, Virali Gulla^{BDEF 1}, Yagnapriya Chirrareddy

^{EF 1}, Satyapriya Paritala^{EF 1}, Daniel Bustamante

^{ABDE 2}, Javier Corral^{ABDEF 3}

DOI: 10.12659/AJCR.952819

Am J Case Rep 2026; 27:e952819

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Figure 3 Trend of serum ammonia level over the course of hospitalization.

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