Central Pontine and Extrapontine Myelinolysis: A Rare and Fatal Complication After Liver Transplantation

被引:10
作者
Cascales Campos, P. [1 ]
Ramirez, P. [1 ]
Gonzalez, R. [1 ]
Pons, J. A. [2 ]
Miras, M. [2 ]
Sanchez Bueno, F. [1 ]
Robles, R. [1 ]
Parrilla, P. [1 ]
机构
[1] Virgen de la Arrixaca Univ Hosp, Liver Transplant Unit, Dept Surg, Murcia, Spain
[2] Virgen de la Arrixaca Univ Hosp, Dept Hepatol, Murcia, Spain
关键词
HYPONATREMIA; RECIPIENTS; NEUROTOXICITY; MANAGEMENT; PATIENT;
D O I
10.1016/j.transproceed.2011.06.052
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Central pontine myelinolysis (CPM) may be more prevalent after liver transplantation (OLT). Central pontine and extrapontine myelinolysis (CPEM) is rare. The occurence of CPM may be associated with hyponatremia, a rapid rise in serum sodium concentrations, postoperatively increased plasma osmolality, and the duration of the operation. Only 1 patient had abnormal sodium levels before LT. No abnormalities were detected in immunosuppressive drug blood levels. The aim of this paper was to report our experience with CPEM among LT patients.
引用
收藏
页码:2237 / 2238
页数:2
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