RT Journal Article SR Electronic T1 Brain MR Imaging in Acute Hyperammonemic Encephalopathy Arising from Late-Onset Ornithine Transcarbamylase Deficiency JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 390 OP 393 VO 24 IS 3 A1 Takanashi, Jun-ichi A1 Barkovich, A. James A1 Cheng, Sabrina F. A1 Kostiner, Dana A1 Baker, John C. A1 Packman, Seymour YR 2003 UL http://www.ajnr.org/content/24/3/390.abstract AB Summary: The brain MR imaging characteristics of three patients with acute hyperammonemic encephalopathy resulting from late-onset ornithine transcarbomylase deficiency are presented. MR images revealed injury to the cortex, especially the cingulate gyrus and insular cortex, with sparing of the perirolandic and occipital cortices. These findings presumably reflect the distribution of brain injury from hypoperfusion secondary to hyperammonemia. Knowledge of the MR findings may help expedite diagnosis and treatment and prevent chronic impairment.