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Abstract Background Hyperammonemia caused by a disorder of the urea cycle is a rare cause of metabolic encephalopathy that may be underdiagnosed by the adult intensivists because of its rarity

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188 Ketamine is also known to cause more serious side effects, such as hallucinations, impaired consciousness, cognitive dysfunction, high blood pressure, cystitis (bladder inflammation), and liver and gallbladder dysfunction, and should be used with caution

Proc Natl Acad Sci USA 1999

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