Intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient: a case report
Seizure is the second most common neurologic complication after liver transplantation and may be caused by metabolic abnormalities, electrolyte imbalance, infection, and immunosuppressant toxicity. A 61-year-old male patient underwent liver transplantation due to hepatitis B virus-related liver cirr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2016-10-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-69-527.pdf |
| _version_ | 1819236678592626688 |
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| author | Seung-Young Oh Hannah Lee Yang-Hyo Park Ho Geol Ryu |
| author_facet | Seung-Young Oh Hannah Lee Yang-Hyo Park Ho Geol Ryu |
| author_sort | Seung-Young Oh |
| collection | DOAJ |
| description | Seizure is the second most common neurologic complication after liver transplantation and may be caused by metabolic abnormalities, electrolyte imbalance, infection, and immunosuppressant toxicity. A 61-year-old male patient underwent liver transplantation due to hepatitis B virus-related liver cirrhosis with portal systemic encephalopathy. The immediate postoperative course of the patient was uncomplicated. However, on postoperative day (POD) 6, weakness developed in both lower extremities. No abnormal findings were detected on a brain computed tomography (CT) scan on POD 8, but a generalized tonic clonic seizure developed which was difficult to control even with multiple antiepileptic drugs. A follow-up brain CT scan on POD 15 showed a 2.7 cm sized acute intracranial hemorrhage (ICH) in the left parietal lobe. The patient's mental status improved after 2 months and he was able to communicate through eye blinking or head shaking. Our case reports an acute ICH that manifested into a refractory seizure in a patient who underwent a liver transplant. |
| first_indexed | 2024-12-23T13:08:15Z |
| format | Article |
| id | doaj.art-e15d4c02b39b411b821663fa25551443 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-23T13:08:15Z |
| publishDate | 2016-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-e15d4c02b39b411b821663fa255514432022-12-21T17:45:50ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632016-10-0169552753110.4097/kjae.2016.69.5.5278231Intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient: a case reportSeung-Young Oh0Hannah Lee1Yang-Hyo Park2Ho Geol Ryu3Department of Surgery, Seoul National University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.Seizure is the second most common neurologic complication after liver transplantation and may be caused by metabolic abnormalities, electrolyte imbalance, infection, and immunosuppressant toxicity. A 61-year-old male patient underwent liver transplantation due to hepatitis B virus-related liver cirrhosis with portal systemic encephalopathy. The immediate postoperative course of the patient was uncomplicated. However, on postoperative day (POD) 6, weakness developed in both lower extremities. No abnormal findings were detected on a brain computed tomography (CT) scan on POD 8, but a generalized tonic clonic seizure developed which was difficult to control even with multiple antiepileptic drugs. A follow-up brain CT scan on POD 15 showed a 2.7 cm sized acute intracranial hemorrhage (ICH) in the left parietal lobe. The patient's mental status improved after 2 months and he was able to communicate through eye blinking or head shaking. Our case reports an acute ICH that manifested into a refractory seizure in a patient who underwent a liver transplant.http://ekja.org/upload/pdf/kjae-69-527.pdfencephalopathyintracranial hemorrhagesliver transplantationseizures |
| spellingShingle | Seung-Young Oh Hannah Lee Yang-Hyo Park Ho Geol Ryu Intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient: a case report Korean Journal of Anesthesiology encephalopathy intracranial hemorrhages liver transplantation seizures |
| title | Intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient: a case report |
| title_full | Intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient: a case report |
| title_fullStr | Intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient: a case report |
| title_full_unstemmed | Intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient: a case report |
| title_short | Intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient: a case report |
| title_sort | intracranial hemorrhage induced uncontrolled seizure in a deceased donor liver transplant patient a case report |
| topic | encephalopathy intracranial hemorrhages liver transplantation seizures |
| url | http://ekja.org/upload/pdf/kjae-69-527.pdf |
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