Plasmapheresis in neurological disorders: Experience from a tertiary care hospital in South India.
BACKGROUND
Therapeutic plasma exchange (PE) or plasmapheresis is the treatment of choice in many neurological disorders. Even though it is safe in experienced hands, there is a major concern about its safety among physicians.


OBJECTIVE
To analyze our experience with 230 patients who underwent PE for various neurological disorders.


METHODS
Retrospective review of PE procedures done during a period of 48 months, from July 2007 to June 2011 in a tertiary care teaching hospital in South India. Indications, clinical results and technical factors are discussed.


RESULTS
The main indication for PE was GBS (203 patients; 88.3%). Age of patients ranged from 14-65 (mean = 42.3 years). The most common complications were paraesthesias and/or cramps (36.1%) and hypotension (32.2%). Four pregnant patients who underwent PE had good recovery with one intrauterine death. There was no mortality.


CONCLUSIONS
The analysis of 240 cases of PE done in our department shows that the procedure is safe, with only minimal procedure related complications and no mortality.
Department of Neurology, Medical College, Calicut, Kerala, India.
V Abdul
VA
Gafoor
Department of Neurology, Medical College, Calicut, Kerala, India.
James
J
Jose
Department of Neurology, Medical College, Calicut, Kerala, India.
K
K
Saifudheen
Department of Neurology, Medical College, Calicut, Kerala, India.
Mohamed
M
Musthafa
Continuous flow method; Guillain-Barré syndrome; plasmapheresis; therapeutic plasma exchange