Induced hyperammonemia may compromise the ability to generate restful sleep in patients with cirrhosis
Alessia Bersagliere, Iolanda D. Raduazzo, Mariateresa Nardi, Sami Schiff, Angelo Gatta, Piero Amodio, Peter Achermann, Sara Montagnese – 12 October 2011 – In patients with cirrhosis, hyperammonemia and hepatic encephalopathy are common after gastrointestinal bleeding and can be simulated by an amino acid challenge (AAC), or the administration of a mixture of amino acids mimicking the composition of hemoglobin. The aim of this study was to investigate the clinical, psychometric, and wake‐/sleep‐electroencephalogram (EEG) correlates of induced hyperammonemia.