ABSTRACT
Treatment of patients with fulminant liver failure is a challenge of contemporary medicine. Liver transplantation, in this group, is presently the only reasonable alternative, but in many patients the disastrous condition of the patient results in serious life-threatening complications, including neurological sequelae, which may influence the quality of life after transplantation, and in some cases even cause death. From 1990 to 2004, we performed 241 liver transplantations in children, including 20 transplanted due to fulminant liver failure (8.2%). Serious neurological complications followed liver transplantation in five cases (20%), three of which were fatal. The analysis revealed that the duration of pretransplant coma (grade III or IV) strongly correlated with the incidence of neurological complications (P < .05). Also a suboptimal quality of the donor liver and poor early graft function may contribute to these posttransplant complications.
Subject(s)
Liver Failure, Acute/surgery , Liver Transplantation , Nervous System Diseases/etiology , Postoperative Complications/classification , Adolescent , Adult , Child , Child, Preschool , Coma/epidemiology , Coma/etiology , Humans , Liver Diseases/classification , Liver Diseases/surgery , Liver Transplantation/adverse effects , Liver Transplantation/mortality , Retrospective Studies , Survival AnalysisABSTRACT
We present here extensive clinical and biochemical data on thirteen SLOS (type I) patients with proven defect in cholesterol biosynthesis for further delineation of the classical SLOS phenotype at different patient ages.
