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活体肝移植术后的中央桥脑髓鞘溶解症

[Central pontine myelinolysis after living donor liver transplantation].

作者信息

Matsusaki Takashi, Morimatsu Hiroshi, Sato Tetsufumi, Sato Kenji, Matsumi Masaki, Morita Kiyoshi

机构信息

Department of Anesthesiology and Resuscitology, University of Okayama Medical School, Okayama 700-8558.

出版信息

Masui. 2008 Sep;57(9):1136-8.

Abstract

Central pontine myelinolysis (CPM) is the most serious central nervous system complication that could be seen after liver transplantation and represents an important source of mortality early after liver transplantation. CPM following liver transplantation was reported more and more in literatures, but the true incidence of CPM after living related liver transplantation (LDLT) remains unknown. However, with the introduction of magnetic resonance imaging (MRI), early recognition has become possible. In this report, we present a case of rapid resolution of CPM followed by MRI examinations.

摘要

中央桥脑髓鞘溶解症(CPM)是肝移植后可能出现的最严重的中枢神经系统并发症,是肝移植术后早期死亡的一个重要原因。肝移植后CPM在文献中的报道越来越多,但活体肝移植(LDLT)后CPM的真实发病率仍不清楚。然而,随着磁共振成像(MRI)的引入,早期识别已成为可能。在本报告中,我们介绍了一例经MRI检查后CPM迅速缓解的病例。

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