Stage IV hepatic encephalopathy associated with acute blindness after liver transplantation
Makaleler > Tam Makale · 2003
Yazarlar: Cigdem Arikan, Hasan TEKGÜL, Sait Eğilmez, Murat Kilic, Rasit V Yagci, Yaman Tokat, Sema AYDOĞDU
Pediatric Transplantation, Uluslararası, Wos, 2003, cilt 7, ss 497-500
DOI: 10.1046/j.1397-3142.2003.00118.x
Özet
A 5-yr-old boy who diagnosed acute liver failure and Stage IV hepatic encephalopathy underwent living related liver transplantation and awakened with persistent hand motions visual loss. Serum Tacrolimus, electrolytes, magnesium levels were normal as well as blood pressure. His neurologic and opthamologic examinations were otherwise normal. Visual evoked potential (VEP) was prolonged and brain magnetic resonance immaging (MRI) revealed bilateral parietooccipital white matter signal abnormalities with gliosis. During follow up his visual loss resolved spontoneously as well as the VEP and MRI abnormalities. In this case we aimed to point out hepatic encephalopathy might be a cause of postoperative visual loss and serial VEP analysis is an important diagnostic tool for monitoring visual function of liver graft recipients in the post-operative period.