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- Hyperammonaemic encephalopathy in a teenage girlPublication . Magalhães, Tiago; Campos, Teresa; Rodrigues, Esmeralda; Vasconcelos, Carla; Fontoura, Manuel; Vilarinho, Laura; Leão‐Teles, ElisaKey Points: - Blood ammonia levels should be measured in every encephalopathy of unknown origin, especially when an intoxication cause is thought; - Late-onset inherited metabolic disorders may only manifest in the presence of triggering environmental factors such as some drugs (e.g. anti-epileptics); an undiagnosed metabolic disorder should be considered in such cases.