Fixed Pupillary Light Reflex due to Peripheral Neuropathy after Liver Transplantation.
10.4266/kjccm.2015.30.3.191
- Author:
Kwan Hyung KIM
;
Namo KIM
;
Sungwon NA
;
Jaewon JANG
;
Jeongmin KIM
- Publication Type:Case Report
- Keywords:
Adie syndrome;
liver transplantation;
peripheral nervous system diseases;
reflex, pupillary
- MeSH:
Adie Syndrome;
Emergencies;
Female;
Hepatic Encephalopathy;
Humans;
Intensive Care Units;
Intracranial Hemorrhages;
Liver Transplantation*;
Liver*;
Middle Aged;
Nervous System Diseases;
Peripheral Nervous System Diseases*;
Pupil;
Reflex*;
Reflex, Pupillary;
Thromboembolism
- From:Korean Journal of Critical Care Medicine
2015;30(3):191-195
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 46-year-old female patient was admitted to the intensive care unit (ICU) after liver transplantation. About an hour later after the ICU admission, she had no pupillary light reflex. Both pupils were also fixed at 5 mm. Patients who undergo liver transplantation are susceptible to neurologic disorders including hepatic encephalopathy, thromboembolism and intracranial hemorrhage. Abnormal pupillary light reflex usually indicates a serious neurologic emergency in these patients; however, benign neurologic disorders such as peripheral autonomic neuropathy or Holmes-Adie syndrome should also be considered. We experienced a case of fixed pupillary light reflex after liver transplantation diagnosed as peripheral autonomic neuropathy.
