STATUS EPILEPTICUS AS A PRESENTING SIGN OF REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY SYNDROME IN A LIVER TRANSPLANT RECIPIENT (CASE REPORT)

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TAGHDIRI M.M.; AMANATI A.; MUSAVI M.A.

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Journal: Iranian Journal of Pediatrics Year:2009 | Volume:19 | Issue:1 Page(s): 69-74

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Title

STATUS EPILEPTICUS AS A PRESENTING SIGN OF REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY SYNDROME IN A LIVER TRANSPLANT RECIPIENT (CASE REPORT)

Author(s)

TAGHDIRI M.M. | AMANATI A. | MUSAVI M.A. | Issue Writer Certificate

Keywords

REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHYQ3

STATUS EPILEPTICUSQ2

IMMUNOSUPPRESSIVEQ3

LIVER TRANSPLANTATIONQ3

TACROLIMUSQ3

Abstract

Background: REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY syndrome (RPLE) is an increasingly recognized disorder, most commonly associated with IMMUNOSUPPRESSIVE and cytotoxic agent, malignant hypertension and toxemia of pregnancy. Neurological symptoms are headache, mental and visual disturbance, and seizures. Brain MRI findings are symmetrical bilateral hyper intense areas of occipital and parietal lobes in T2-weighted magnetic resonance (MR) images. This finding is reversible with prompt successful treatment which may take days to weeks for full reversal. Case Presentation: We observed a case of STATUS EPILEPTICUS which occurred 32 days after LIVER TRANSPLANTATION in a patient on regimen consisting of TACROLIMUS (FK 506). He had no history of neurologic disease or metabolic abnormalities. Typical findings of RPLE were present on brain MRI. The recurrence of seizures terminated after a few hours with adding Na-valproate to Phenytoin, Phenobarbital and Midazolam. The radiological finding of brain MRI gradually diminished after several weeks. Conclusion: A physician should be alert of seizures during early post transplant period of LIVER TRANSPLANTATION. He should bear in mind the diagnosis of RPLE and consider discontinuation of IMMUNOSUPPRESSIVE drugs.

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APA: Copy

TAGHDIRI, M.M., AMANATI, A., & MUSAVI, M.A.. (2009). STATUS EPILEPTICUS AS A PRESENTING SIGN OF REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY SYNDROME IN A LIVER TRANSPLANT RECIPIENT (CASE REPORT). IRANIAN JOURNAL OF PEDIATRICS, 19(1), 69-74. SID. https://sid.ir/paper/76225/en

Vancouver: Copy

TAGHDIRI M.M., AMANATI A., MUSAVI M.A.. STATUS EPILEPTICUS AS A PRESENTING SIGN OF REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY SYNDROME IN A LIVER TRANSPLANT RECIPIENT (CASE REPORT). IRANIAN JOURNAL OF PEDIATRICS[Internet]. 2009;19(1):69-74. Available from: https://sid.ir/paper/76225/en

IEEE: Copy

M.M. TAGHDIRI, A. AMANATI, and M.A. MUSAVI, “STATUS EPILEPTICUS AS A PRESENTING SIGN OF REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY SYNDROME IN A LIVER TRANSPLANT RECIPIENT (CASE REPORT),” IRANIAN JOURNAL OF PEDIATRICS, vol. 19, no. 1, pp. 69–74, 2009, [Online]. Available: https://sid.ir/paper/76225/en

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