[A 71-year-old woman with adult-onset type II citrullinemia, initially presenting with normal blood ammonia levels]
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The patient, a 71-year-old woman, was admitted for a generalized tonic-clonic seizure. Initial investigations, including plasma ammonia, were normal, and she was treated for status epilepticus. Consciousness recovered to Japan Coma Scale (JCS) 0, but on day 4 ... ...