Central Pontine Myelinolysis after Liver Transplantation: A case report.
10.4097/kjae.2006.50.4.469
- Author:
Hae Keun JEONG
1
;
Mi Sook GWAK
;
Gaab Soo KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gskim@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
central pontine myelinolysis;
hyponatremia;
liver transplantation
- MeSH:
End Stage Liver Disease;
Humans;
Hyponatremia;
Liver Transplantation*;
Liver*;
Myelinolysis, Central Pontine*;
Perioperative Period;
Sodium
- From:Korean Journal of Anesthesiology
2006;50(4):469-473
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hyponatremia is common in end stage liver disease and central pontine myelinolysis (CPM) can occur after the rapid correction of hyponatremia. The blood sodium concentration can increase rapidly during the perioperative period of liver transplantation due to the administration of sodium-containing fluids and blood products. We experienced 5 cases of CPM after liver transplantation. Major changes in the blood sodium concentrations occurred during surgery in the first 3 cases while these changes occurred after surgery in the last 2 cases. We reviewed the blood sodium concentrations of these 5 patients and speculated on the correlation of CPM with a rapid increase in the blood sodium concentration.
