[Neurologic complications following liver transplantation].
Neurologic complications are very common following liver transplantation and appear in 30%-90% of the patients. These complications represent a wide array of etiologies, often presenting complicated diagnostic options. The primary liver disease for which the patient underwent the transplantation can cause neurologic complications, or they can be a presentation of a metabolic or vascular derangement. The medications given to liver transplanted patients can cause neurologic complication either directly via drug side effects or indirectly via immune-suppression and secondary opportunistic infections of the nervous system. We present two cases of liver transplanted patients, one suffering from a complex neurologic syndrome attributed to her primary Wilsons disease and the second with recurrent encephalopathy following transplantation attributed to a porto-systemic shunt. We review the current literature on the subject.
Shibolet
Oren
O
Liver Unit, Division of Medicine, Hadassah University Hospital, Jerusalem, Israel.
Safadi
Rifaat
R
Ashur
Yaffa
Y
Eid
Ahmed
A
Ilan
Yaron
Y
D000328:Adult; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D017590:Myelinolysis, Central Pontine / Q000209:etiology; D009422:Nervous System Diseases / Q000209:etiology*; D011183:Postoperative Complications / Q000145:classification