AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology, Vol 9, Issue 2 303-306, Copyright © 1988 by American Society of Neuroradiology


ARTICLES

Neuroradiologic aspects of pediatric orthotopic liver transplantation

WE Rothfus, WL Hirsch, RE Latchaw and TE Starzl
Department of Radiology, University of Pittsburgh School of Medicine, PA 15213.

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.