Hyperammonaemia disrupts daily rhythms reversibly by elevating glutamate in the central circadian pacemaker
Granados-Fuentes D, Cho K, Patti GJ, Costa R, Herzog E D, Montagnese S Liver Int Patients with cirrhosis exhibit features of circadian disruption. Hyperammonaemia has been suggested to impair both homeostatic and circadian sleep regulation. Here, we tested if hyperammonaemia directly disrupts circadian rhythm generation in the central pacemaker, the suprachiasmatic nuclei (SCN) of the […]
Driving simulator performance worsens after the Spring transition to Daylight Saving Time
Orsini F, Zarantonello L, Costa R, Rossi R, Montagnese S iScience Circadian desynchrony and sleep deprivation related to the Spring transition to Daylight Saving Time (DST) have been associated with several unfavorable outcomes, including an increase in road traffic accidents. As previous work has mainly focused on analyzing historical crash/hospitalization data, there is virtually no literature […]
Hepatic encephalopathy
Häussinger D, Dhiman RK, Felipo V, Görg B, Jalan R, Kircheis G, Merli M, Montagnese S, Romero-Gomez M, Schnitzler A, Taylor-Robinson SD, Vilstrup H Nat Rev Dis Primers Illustrated summary of the article Full text
EASL Clinical Practice Guidelines on the management of hepatic encephalopathy
Montagnese S, Gómez MR, Larsen FS, Shawcross D, Thabut D, Vilstrup HA V, Weissenborn K, Rautou PE, Corresponding author: European Association for the Study of the Liver (EASL) Journal of Hepatology The EASL Clinical Practice Guidelines (CPGs) on the management of hepatic encephalopathy (HE) present evidence-based answers to a set of relevant questions (where possible, […]
Evolution of hepatic encephalopathy over time: ecological data from a tertiary referral centre for hepatology
Mangini C, Zarantonello L, Formentin C, Giusti G, Angeli P, Montagnese S Digestive and Liver Disease Objectives Few data on hepatic encephalopathy (HE) over time are available, thus our aim was to study its evolution in patients with varying degree of HE on first assessment. Methods Eighty-six patients with cirrhosis (age = 58 ± 11 […]