Ammonia‐induced brain edema and intracranial hypertension in rats after portacaval anastomosis
Andres T. Blei, Sigurdur Olafsson, Guy Therrien, Roger F. Butterworth – 1 June 1994 – Brain edema, leading to intracranial hypertension and brain herniation, is a major cause of death in fulminant liver failure. Astrocyte swelling is a prominent neuropathological feature in experimental fulminant liver failure. It has been postulated that the osmotic effects of glutamine, generated in astrocytes from ammonia and glutamate in a reaction catalyzed by glutamine synthetase, could mediate brain swelling.