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Doris A. Trauner, MD; Thomas W. Self, MD

Arch Neurol. 1984;41(7):758-760.

Abstract
• Inborn errors of ureagenesis must be considered in the differential diagnosis of recurrent vomiting and lethargy in childhood. Elevations of liver enzyme levels are often present during these episodes and may lead to an erroneous diagnosis of hepatic encephalopathy. We studied two cases of urea cycle defects.

Author Affiliations
From the Departments of Neurosciences (Dr Trauner) and Pediatrics (Drs Trauner and Self), University of California Medical Center, and the Department of Pediatrics, Kaiser Permanente Medical Foundation Hospital (Dr Self), San Diego.

Footnotes
Accepted for publication Sept 14, 1983.

Reprint requests to University Hospital, #H-815, University of California Medical Center, San Diego, CA 92103 (Dr Trauner).

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