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CASE REPORT
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Hyperammonemia presenting as opsoclonus–myoclonus–ataxia–tremor syndrome: A case report


1 Department of Neurology, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India
2 Department of Gasteroenterology, Pace Hospital, Hi Tech City, Hyderabad, Telanagana, India

Correspondence Address:
Sandhya Manorenj,
Department of Neurology, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana
India
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Source of Support: None, Conflict of Interest: None

Opsoclonus myoclonus syndrome (OMS) is a rare autoimmune condition occurring due to Purkinje cell degeneration due to remote aetiology. Most often it occurs as a paraneoplastic syndrome. Here we report a case of opsoclonus-myoclonus–ataxia tremor syndrome in a 60-year-old woman that occurred due to hyperammonemia and she recovered completely with immunotherapy and correction of hyperammonemia. OMS is the first in literature associated with hyperammonemia.


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