1 MCQs in Biochemistry for NEET PG
A 3-year-old boy with a known diagnosis of maple syrup urine disease (MSUD) is brought to the emergency department with acute encephalopathy, ataxia, and a characteristic sweet-smelling urine. His plasma branched-chain amino acid (BCAA) levels are markedly elevated. Which of the following pathophysiological mechanisms BEST explains the acute neurological deterioration in this patient?
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