TY - JOUR
T1 - Periodic Hyperammonemic Encephalopathy Associated With a Ureterosigmoidostomy
AU - CASCINO, GREGORY D.
AU - JENSEN, JOAN M.
AU - NELSON, LORI A.
AU - SCHUTTA, HENRY S.
PY - 1989
Y1 - 1989
N2 - Ureterosigmoidostomy, a urinary diversion procedure performed for treatment of congenital urologic defects or bladder cancer, may be associated with hyperammonemia. A delayed periodic encephalopathy, characterized by dysarthria, ataxia, and coma, developed in a 44-year-old woman who had undergone this procedure. Hyperammonemia-associated neurotoxicity resolved after surgical revision of the ureterosigmoidostomy to a ureteroileostomy. Therefore, a treatable episodic encephalopathy may occur in association with hyperammonemia in patients who have undergone ureterosigmoidostomy.
AB - Ureterosigmoidostomy, a urinary diversion procedure performed for treatment of congenital urologic defects or bladder cancer, may be associated with hyperammonemia. A delayed periodic encephalopathy, characterized by dysarthria, ataxia, and coma, developed in a 44-year-old woman who had undergone this procedure. Hyperammonemia-associated neurotoxicity resolved after surgical revision of the ureterosigmoidostomy to a ureteroileostomy. Therefore, a treatable episodic encephalopathy may occur in association with hyperammonemia in patients who have undergone ureterosigmoidostomy.
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U2 - 10.1016/S0025-6196(12)65343-9
DO - 10.1016/S0025-6196(12)65343-9
M3 - Article
C2 - 2747294
AN - SCOPUS:0024360348
SN - 0025-6196
VL - 64
SP - 653
EP - 656
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 6
ER -