Analysis of neurological complications in children transplanted due to fulminant liver failure

Transplantation Proceedings
P NachulewiczA Kowalski

Abstract

Treatment of patients with fulminant liver failure is a challenge of contemporary medicine. Liver transplantation, in this group, is presently the only reasonable alternative, but in many patients the disastrous condition of the patient results in serious life-threatening complications, including neurological sequelae, which may influence the quality of life after transplantation, and in some cases even cause death. From 1990 to 2004, we performed 241 liver transplantations in children, including 20 transplanted due to fulminant liver failure (8.2%). Serious neurological complications followed liver transplantation in five cases (20%), three of which were fatal. The analysis revealed that the duration of pretransplant coma (grade III or IV) strongly correlated with the incidence of neurological complications (P < .05). Also a suboptimal quality of the donor liver and poor early graft function may contribute to these posttransplant complications.

References

Apr 12, 1997·Lancet·A Mas, J Rodés
Sep 7, 2001·Transplantation Proceedings·O ShiboletR Safadi
May 15, 2002·The American Journal of Nursing·Valerie Diaz, Mary Mason Wyckoff
Nov 9, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Bjørn BrandsaeterKristian Bjøro

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Citations

Sep 15, 2012·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·J A Fernández-RamosJ L Pérez-Navero
Aug 5, 2008·Transplantation Proceedings·G NovelliP B Berloco

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