Keywords:
Transplantation, Outcomes, Structured reporting, Outcomes analysis, Complications, MR, CT-Angiography, CT, Thorax, Neuroradiology brain, Emergency, Ischaemia / Infarction
Authors:
E. Marín Diez1, E. Montes Figueroa1, Y. Lamprecht1, V. Fernandez-Lobo1, A. B. Barba Arce1, E. G. HERRERA ROMERO1, F. Pozo Piñon2, E. M. Marco De Lucas3; 1Santander/ES, 2Santander, Cantabria/ES, 3Santander, Ca/ES
DOI:
10.1594/ecr2018/C-2322
Conclusion
We found an elevated rate of neuroimaging findings in patients following LT with 37.3% of positive studies.
In our cohort,
the frequency of clinical neurological events was 33.1%,
lower than those reported in the available studies [2-4 and 9].
One reason for this difference is probably related to the surveillance period.
The data collection was made in 2017,
so patients who underwent LT from 2014 to 2016 were not followed for a long time (available LT series had a surveillance period of 10 years).
Encephalopathy,
critical illness polyneuropathy and cerebrovascular accident (stroke),
in that order,
were the most frequent CNS complications.
Our findings are similar to those reported in other adult series.
For instance,
in 2010 Mateen et al.
found that the most common neurological complications in the CNS were encephalopathy,
strokes and seizures [2].
LT recipients constitute an especially vulnerable group that need a close surveillance,
mainly during the early post-transplant period (our average time to a neurological complication was 5.8 months).
MRI proved to be the best imaging tool. Structural abnormalities on brain imaging were more often detected using MRI than CT for indications of encephalopathy and seizures.