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Topiramate-induced hyperammonemic encephalopathy in a patient with mental retardation: A case report and review of the literature.

Epilepsy Behav Case Rep · 2015 · PMC4576360 · PMID 26543812

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showed a trendno p-value reported
The seizures did not reoccur, but repeat ammonia levels over the ensuing two days showed a trend upwards, 47 μmol/l and 57 μmol/l, respectively.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.