Demyelinating CNS processes in late post-liver transplant period

In solid organ recipients, post-transplant neurotoxicity of calcineurin inhibitors (CIs) can be manifested by brain and spinal cord demyelination with multiple sclerosis (MS)-like symptoms. Here are presented two case reports of neurological MS-like symptoms in the long-term post-liver transplant...

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Main Authors: Anastasia A. Salienko, Vladimir E. Syutkin, Maria V. Lisitskaya, Denis V. Kuznetsov, Murad S. Novruzbekov
Format: Article
Language:English
Published: Research Center of Neurology 2023-09-01
Series:Анналы клинической и экспериментальной неврологии
Subjects:
Online Access:https://annaly-nevrologii.com/journal/pathID/article/viewFile/878/pdf
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author Anastasia A. Salienko
Vladimir E. Syutkin
Maria V. Lisitskaya
Denis V. Kuznetsov
Murad S. Novruzbekov
author_facet Anastasia A. Salienko
Vladimir E. Syutkin
Maria V. Lisitskaya
Denis V. Kuznetsov
Murad S. Novruzbekov
author_sort Anastasia A. Salienko
collection DOAJ
description In solid organ recipients, post-transplant neurotoxicity of calcineurin inhibitors (CIs) can be manifested by brain and spinal cord demyelination with multiple sclerosis (MS)-like symptoms. Here are presented two case reports of neurological MS-like symptoms in the long-term post-liver transplant period with different underlying causes. CI neurotoxicity may resemble various neurological diseases, including MS. At the same time, liver transplant recipients can develop true MS regardless of the immunosuppressant use. In liver transplant recipients, adequate differential diagnosis of neurological complications avoids unnecessary medications and reverses severe neurological deficits by immunosuppressant conversion.
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spelling doaj.art-f4134bc032904d009f615bace4195f5f2024-03-15T10:29:53ZengResearch Center of NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-25332023-09-01173838710.54101/ACEN.2023.3.10653Demyelinating CNS processes in late post-liver transplant periodAnastasia A. Salienko0https://orcid.org/0000-0002-2732-684XVladimir E. Syutkin1https://orcid.org/0000-0001-8391-5211Maria V. Lisitskaya2https://orcid.org/0000-0002-8402-7643Denis V. Kuznetsov3https://orcid.org/0000-0002-8201-2376Murad S. Novruzbekov4https://orcid.org/0000-0002-6362-7914Sklifosovsky Research Institute for Emergency MedicineSklifosovsky Research Institute for Emergency MedicineLomonosov Moscow State UniversityMoscow Scientific and Practical Center of Dermatology, Venerology and CosmetologySklifosovsky Research Institute for Emergency MedicineIn solid organ recipients, post-transplant neurotoxicity of calcineurin inhibitors (CIs) can be manifested by brain and spinal cord demyelination with multiple sclerosis (MS)-like symptoms. Here are presented two case reports of neurological MS-like symptoms in the long-term post-liver transplant period with different underlying causes. CI neurotoxicity may resemble various neurological diseases, including MS. At the same time, liver transplant recipients can develop true MS regardless of the immunosuppressant use. In liver transplant recipients, adequate differential diagnosis of neurological complications avoids unnecessary medications and reverses severe neurological deficits by immunosuppressant conversion.https://annaly-nevrologii.com/journal/pathID/article/viewFile/878/pdfliver transplantcalcineurin inhibitorsneurotoxicitymultiple sclerosiseverolimus
spellingShingle Anastasia A. Salienko
Vladimir E. Syutkin
Maria V. Lisitskaya
Denis V. Kuznetsov
Murad S. Novruzbekov
Demyelinating CNS processes in late post-liver transplant period
Анналы клинической и экспериментальной неврологии
liver transplant
calcineurin inhibitors
neurotoxicity
multiple sclerosis
everolimus
title Demyelinating CNS processes in late post-liver transplant period
title_full Demyelinating CNS processes in late post-liver transplant period
title_fullStr Demyelinating CNS processes in late post-liver transplant period
title_full_unstemmed Demyelinating CNS processes in late post-liver transplant period
title_short Demyelinating CNS processes in late post-liver transplant period
title_sort demyelinating cns processes in late post liver transplant period
topic liver transplant
calcineurin inhibitors
neurotoxicity
multiple sclerosis
everolimus
url https://annaly-nevrologii.com/journal/pathID/article/viewFile/878/pdf
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AT mariavlisitskaya demyelinatingcnsprocessesinlatepostlivertransplantperiod
AT denisvkuznetsov demyelinatingcnsprocessesinlatepostlivertransplantperiod
AT muradsnovruzbekov demyelinatingcnsprocessesinlatepostlivertransplantperiod