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2020, www.sciencedirect.com/science/article/abs/pii/S0976566220304409, Wen Ting Hao, et al
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Hyperammonemia and Encephalopathy Associated with Concomitant Topiramate Use: Clinical symptoms of hyperammonemic encephalopathy often include acute alterations in level of consciousness and/or cognitive function with lethargy or vomiting
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