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Whatâs more, aside from increased level of ammonia in the blood, other symptoms also can be induced such as muscle weakness, fatigue, lethargy and so on. In addition, if left untreated, elevated blood ammonia can affect brain tissue, leading to symptoms such as confusion and delirium.
Ammonia is a toxic compound that mainly damages the brain. The effects of an acute increase in plasma ammonia should be distinguished from chronic moderate increases. In the classical model of hepatic encephalopathy (secondary to liver cir-rhosis), ammonia plays a pivotal role in the genesis of neurological symptoms. Fac-