Diffuse Cerebral Edema and Impending Herniation Complicating Hepatic Encephalopathy in Hereditary Hemorrhagic Telangiectasia

<div>Trend of ammonia level over the course of this patient’s hospital admission. (A) Ammonia level on admission. (B) Initiation of lactulose enemas and CRRT. (C) L-Arginine and sodium benzoate/sodium phenylacetate started. (D) CRRT stopped due to recurrent clotting within the machine.</div>

Case Reports in Medicine

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Figure 5

Figure 5: Diffuse Cerebral Edema and Impending Herniation Complicating Hepatic Encephalopathy in Hereditary Hemorrhagic Telangiectasia 