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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 275 - 280 (6page)
- DOI
- 10.4285/kjt.21.0021
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초록· 키워드
오류제보하기
Intracranial hemorrhage (ICH) following liver transplantation is a potentially devastating complication. Although hypertension and thrombocytopenia are well-known risk factors for ICH in the general population, their roles in ICH after liver transplantation have not been well established. ICH occurred in two patients with alcoholic cirrhosis after deceased donor liver transplantation. A 38-year-old man presented with acute ICH in the right parietal lobe on day 16 after transplantation, with decreased level of consciousness and seizure. His mental status improved with immediate neurological treatment without surgery. In the second case, a 42-year-old woman had acute ICH in the left frontoparietal lobes on day 9 after transplantation, with generalized tonic-clonic seizures. Urgent cerebral decompression was performed. The patient’s neurological symptoms gradually recovered. In both cases, the blood platelet count was less than 50,000/mm3. Monitoring cerebral pressure for ICH is an invasive and challenging method, especially in patients with cirrhosis who have issues with hemostasis. Surgeons should be critically mindful of the risk of rapid neurological deterioration in patients with cirrhosis. Careful neurologic examination and immediate treatment to lower intracranial pressure for ICH after liver transplantation in patients with alcoholic cirrhosis are very important.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Menegaux F / 1994 / Neurological complications of liver transplantation in adult versus pediatric patients / Transplantation 58:447~450
Bronster DJ / 2000 / Central nervous system complications in liver transplant recipients: incidence, timing, and long-term follow-up / Clin Transplant 14:1~7
Ghaus N / 2001 / Neurological complications in liver transplantation / J Neurol 248:1042~1048
Chabolla DR / 2006 / Pharmacologic management of seizures in organ transplant / Neurology 67(12):S34~S38
Mirski MA / 2008 / Seizures and status epilepticus in the critically ill / Crit Care Clin 24:115~147
Bronster DJ / 2000 / Central nervous system complications in liver transplant recipients: incidence, timing, and long-term follow-up / Clin Transplant 14:1~7
Ghaus N / 2001 / Neurological complications in liver transplantation / J Neurol 248:1042~1048
Chabolla DR / 2006 / Pharmacologic management of seizures in organ transplant / Neurology 67(12):S34~S38
Mirski MA / 2008 / Seizures and status epilepticus in the critically ill / Crit Care Clin 24:115~147
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