Morphological and functional evaluation of visual disturbances in a bilateral hand allograft recipient

被引：9

作者：

Landin, L. ^{[1
]}

Cavadas, P. C. ^{[1
]}

Nthumba, P. ^{[2
]}

Munoz, G. ^{[3
]}

Gallego, R. ^{[4
]}

Belloch, V. ^{[5
]}

Avila, C. ^{[6
]}

Loro, M. ^{[7
]}

Ibanez, J. ^{[1
]}

Roger, I. ^{[1
]}

Linares-Martinez, N. ^{[5
]}

机构：

[1] La Fe Univ Hosp, Div Plast & Reconstruct Surg, Valencia, Spain

[2] Pedro Cavadas Fdn, Valencia, Spain

[3] Clin Ctr Oftalmol Marques de Sotelo, Valencia, Spain

[4] La Fe Univ Hosp, Div Ophthalmol, Valencia, Spain

[5] La Fe Univ Hosp, Dept Radiol, MR Unit ERESA, Valencia, Spain

[6] Jaume I Univ, Dept Expt Psychol, Castellon de La Plana, Spain

[7] Guadalajara Univ Hosp, Div Psychiat, Guadalajara, Spain

来源：

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY | 2010年 / 63卷 / 04期

关键词：

Composite tissue allograft; Neurotoxicity; Psychological issues; Magnetic resonance imaging; BONE-MARROW-TRANSPLANTATION; OPTIC NEUROPATHY; TACROLIMUS; MANAGEMENT; BLINDNESS; PATIENT; FK506;

D O I：

10.1016/j.bjps.2008.12.033

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Allograft recipients are exposed to risks owing to immunosuppression, and there is always the possibility that psychological issues interfere with the procedure's outcomes. An episode of blindness was suspected in a bilateral hand allograft recipient. The patient underwent a multidisciplinary evaluation, and clinical, electrophysiological, laboratory and a combination of functional and morphological magnetic resonance imaging (MRI) tests ruled out any visual process and revealed a secondary benefit, which turned out to be the use of privileges of the transplant support centre for several months. Composite tissue allograft recipients require a thorough psychological assessment before and after transplant procedures to prevent malingering. (C) 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

引用

页码：700 / 704

页数：5

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