Sandra A. Banta-Wright, MN, RNC, NNP; Robert D. Steiner, MD Neonates with profound and prolonged hyperammonemia with coma due to urea cycle defect will have had a neurological insult to the brain ...

The ability to diagnose more and more EM during the neonatal period is due to advances ... such as metabolic acidosis and hyperammonemia, will be key clues to signal the need for further ...