@article {Meijer36, author = {Rick Meijer and Umesh Vivekananda and Simona Balestrini and Matthew Walker and Robin Lachmann and Johannes Haeberle and Elaine Murphy}, title = {Ammonia: what adult neurologists need to know}, volume = {21}, number = {1}, pages = {36--42}, year = {2021}, doi = {10.1136/practneurol-2020-002654}, publisher = {BMJ Publishing Group Ltd}, abstract = {Hyperammonaemia is often encountered in acute neurology and can be the cause of acute or chronic neurological symptoms. Patients with hyperammonaemia may present with seizures or encephalopathy, or may be entirely asymptomatic. The underlying causes are diverse but often straightforward to diagnose, although sometimes require specialist investigations. Haemodialysis or haemo(dia)filtration is the first-line treatment for acute severe hyperammonaemia (of any cause) in an adult. Here we discuss our approach to adult patients with hyperammonaemia identified by a neurologist.}, issn = {1474-7758}, URL = {https://pn.bmj.com/content/21/1/36}, eprint = {https://pn.bmj.com/content/21/1/36.full.pdf}, journal = {Practical Neurology} }