Arquivos de Neuro-Psiquiatria ()

Neurological complications of solid organ transplantation

  • José Luiz Pedroso,
  • Lívia Almeida Dutra,
  • Pedro Braga-Neto,
  • Agessandro Abrahao,
  • João Brainer Clares de Andrade,
  • Gabriel Lopes da Silva,
  • Laila Almeida Viana,
  • José Osmar Medina Pestana,
  • Orlando G. Barsottini

DOI
https://doi.org/10.1590/0004-282x20170132
Journal volume & issue
Vol. 75, no. 10
pp. 736 – 747

Abstract

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ABSTRACT Solid organ transplantation is a significant development in the treatment of chronic kidney, liver, heart and lung diseases. This therapeutic approach has increased patient survival and improved quality of life. New surgical techniques and immunosuppressive drugs have been developed to achieve better outcomes. However, the variety of neurological complications following solid organ transplantation is broad and carries prognostic significance. Patients may have involvement of the central or peripheral nervous system due to multiple causes that can vary depending on time of onset after the surgical procedure, the transplanted organ, and the intensity and type of immunosuppressive therapy. Neurological manifestations following solid organ transplantation pose a diagnostic challenge to medical specialists despite extensive investigation. This review aimed to provide a practical approach to help neurologists and clinicians assess and manage solid organ transplant patients presenting with acute or chronic neurological manifestations.

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