Chapter 14

Cerebral Ammonia Metabolism in Cirrhosis

Michael Sørensen and Peter Ott

Abstract

Ammonia is thought to play a significant role in the development of hepatic encephalopathy (HE) in patients with liver failure. Some of the key questions have been whether there is an abnormal permeability surface-area product across the blood-brain barrier (PS<sub>BBB</sub>) for ammonia in patients with cirrhosis and whether the cerebral metabolic rate of ammonia is altered. In this chapter, we discuss how functional molecular imaging using positron emission tomography (PET) can be utilized for in vivo studies of cerebral ammonia kinetics and what the studies so far have shown.

Total Pages: 153-159 (7)

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