Elevated levels might involve hepatocellular disease, active cirrhosis, metastatic liver tumor, infection or toxic hepatitis, severe burns, pancreatitis
, myocardial infarction (heart attack), trauma, acute hemolytic anemia, crushing injuries, gangrene or shock. Please consult a gastroenterologist for the treatment plan . Please consult a neurologist for the neurological symptoms . Hope this helps you . Take care and regards !