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Description
Hyperammonemia in hepatic encephalopathy

Neurological manifestations are particularly concerning and may include peripheral neuropathy with paresthesias (tingling and numbness in hands and feet), ataxia, impaired proprioception and vibratory sense, cognitive impairment, memory loss, and in severe cases, subacute combined degeneration of the spinal cord

However, in neither of these studies, differences were reported regarding protein metabolism in skeletal muscle

A.TakemotoA
Gastroenterology 125:437443

Hudson, C
