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Whatâs more, aside from increased level of ammonia in the blood, other symptoms also can be induced such as muscle weakness, fatigue, lethargy and so on. In addition, if left untreated, elevated blood ammonia can affect brain tissue, leading to symptoms such as confusion and delirium.
by monitoring average ammonia levels over 4 and 24 hour periods. In our patient, the elevated blood ammonia level and the rapid resolution of symptoms coupled with the reduction of his blood ammonia level led us to suspect that hyperammonemia may have accounted for his presentation.