Reversed ammonia kinetics in acute liver failure: splanchnic release and cerebral uptake. Related to cerebral herniation ?

Cerebral herniation in patients with acu

Cerebral herniation in patients with acute E liver failure is correlated with arterial ammonia concentration

✍ Jens Otto Clemmesen; Fin Stolze Larsen; Jens Kondrup; Bent Adel Hansen; Peter Ot 📂 Article 📅 1999 🏛 John Wiley and Sons 🌐 English ⚖ 76 KB 👁 1 views

Cerebral edema leading to cerebral herniation (CH) is a common cause of death in acute liver failure (ALF). Animal studies have related ammonia with this complication. During liver failure, hepatic ammonia removal can be expected to determine the arterial ammonia level. In patients with ALF, we exam