Cognitive deficits after hepatic transplantation: relevance to the rehabilitation potential.
Alteration in central nervous system function is a well-known sequela of liver failure, but has been thought to be transient after transplantation surgery. We present two cases of cerebral pontine myelinosis complicating liver transplantation. Both of these cases presented with specific post-surgical cognitive deficits assessed by neuropsychological testing. These cognitive deficits altered the ability of each patient to become functionally self-sufficient and thus modified the rehabilitation potentials of these two patients significantly.
Kaplan
P E
PE
Department of Physical Medicine and Rehabilitation, Ohio State University, USA.
Clinchot
D M
DM
Arnett
J A
JA
D000203:Activities of Daily Living / Q000145:classification; D003072:Cognition Disorders / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008111:Liver Function Tests; D016031:Liver Transplantation / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D017590:Myelinolysis, Central Pontine / Q000523:psychology / Q000534:rehabilitation*; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D011183:Postoperative Complications / Q000523:psychology / Q000534:rehabilitation*; D016896:Treatment Outcome