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간이식 수술 2회 후 발생한 말초신경병증

A Case of Peripheral Neuropathy after 2 Consecutive Liver Transplantation

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초록

A 29 year old man, carrier of B viral hepatitis, was diagnosed with level C liver cirrhosis according to Child Pugh classification in March 2007. The liver cirrhosis progressed to liver failure and the patient received his first liver transplantation in May 2007 which was failed due to portal embolism. The patient underwent second operation after 14 days using a cadaveric liver and spent 33 days in an intensive care unit. Four months after the second liver transplantation, the patient was referred to electrodiagnostic lab for weakness and muscular atrophy of extremities. The patient showed abnormality in the left median, ulnar and bilateral peroneal nerves and was diagnosed with peripheral polyneuropathy. Follow up electrodiagnostic test after thirteen months showed improvement in polyneuropathy.

Abstract

A 29 year old man, carrier of B viral hepatitis, was diagnosed with level C liver cirrhosis according to Child Pugh classification in March 2007. The liver cirrhosis progressed to liver failure and the patient received his first liver transplantation in May 2007 which was failed due to portal embolism. The patient underwent second operation after 14 days using a cadaveric liver and spent 33 days in an intensive care unit. Four months after the second liver transplantation, the patient was referred to electrodiagnostic lab for weakness and muscular atrophy of extremities. The patient showed abnormality in the left median, ulnar and bilateral peroneal nerves and was diagnosed with peripheral polyneuropathy. Follow up electrodiagnostic test after thirteen months showed improvement in polyneuropathy.

참고문헌 (9)

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  7. Chopra JS, "Role of porta systemic shunt and hepatocellular damage in the genesis of hepatic neuropathy", Clin Neurol Neurosurg, 82, pp.37~44 (1980)
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