Therefore, it is necessary to estimate the serum ammonia level in every preterm newborn infant, who develops the signs of respiratory distress syndrome in the first hours of life, along with the symptoms of hyperammonemia (lethargy, hypotonia, seizures [ncbi.nlm.nih.gov]

Severe Transient Hyperammonemia can also cause respiratory distress syndrome. Chest x-rays may resemble hyaline membrane disease. [en.wikipedia.org]

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Severe Transient Hyperammonemia causes neurological problems as ammonia levels in the brain are too high, which can cause infant hyptotonia as well as neonatal seizures. Severe Transient Hyperammonemia can also cause respiratory distress syndrome. [en.wikipedia.org]

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