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Acute Hyperammonemic Encephalopathy in Adults: Imaging Findings AJNR 32:413-418, U-King-Im,J.M.,et al, 2010 See this aricle in Pubmed Article Abstract The striking common imaging finding was symmetric involvement of the cingulated gyrus and insular cortex in all patients, with more variable and asymmetric additional cortical involvement. These specific imaging features should alert the radiologist to the possibility of acute hyperammonemic encephalopathy.

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