Rothfus W E, Hirsch W L, Latchaw R E, Starzl T E
Department of Radiology, University of Pittsburgh School of Medicine, PA 15213.
AJNR Am J Neuroradiol. 1988 Mar-Apr;9(2):303-6.
To investigate the occurrence of neurologic symptomatology in pediatric orthotopic liver transplantation patients and to evaluate the utility of CT in uncovering the origin of their symptoms, we reviewed the medical records and head scans (when performed) of 71 patients. Neurologic problems occurred in 48%; the majority involved seizures, mental status changes, or coma. Patients who only had seizures generally had negative CT scans, except for two patients with minimal subarachnoid hemorrhages. Three-quarters of the comatose patients, however, had significant intracerebral hemorrhages defined by CT. Prominent sulci and ventricles were found in approximately one-third of the patients scanned, but did not correlate with symptomatology or steroid dose.
为了调查小儿原位肝移植患者神经症状的发生情况，并评估CT在揭示其症状根源方面的效用，我们回顾了71例患者的病历和头部扫描（如有进行）。48%的患者出现了神经问题；大多数涉及癫痫发作、精神状态改变或昏迷。仅出现癫痫发作的患者通常CT扫描结果为阴性，但有两名患者有少量蛛网膜下腔出血。然而，四分之三的昏迷患者经CT检查发现有明显的脑出血。在约三分之一接受扫描的患者中发现脑沟和脑室增宽，但这与症状或类固醇剂量无关。
