Moyamoya disease as a possible cause of neurological impairment following liver transplantation for Wilson's disease.

Hepatol Res

Digestive and Liver Disease Department, S. Andrea Hospital, II Medical School, University "Sapienza", Rome, Italy Departments of Vascular and Interventional Radiology Faculty of Medicine and Health Sciences, Hepatology and Gastroenterology Neurology, Laboratory for Clinical and Experimental Neurophysiology, Ghent University, Ghent, Belgium.

Published: March 2011

AI Article Synopsis

  • Liver transplantation is often the only treatment option for patients with severe liver failure due to Wilson's disease when drugs don't work.
  • A case was reported of a 29-year-old woman who developed neurological issues after her liver transplant and was diagnosed with moyamoya disease.
  • Moyamoya disease is a rare condition related to brain blood vessels, and while its cause is unknown, some immunosuppressive treatments may contribute to its development, making this connection noteworthy post-transplant for Wilson's disease.

Article Abstract

In Wilson's disease, liver transplantation can constitute the only option for patients presenting with fulminant hepatic failure or decompensated liver disease unresponsive to drug therapy. We report the case of a 29-year-old woman receiving a liver transplant for end-stage Wilson's disease who developed neurological complications after transplantation. After an accurate evaluation of possible differential causes of neurological complications developing as the result of liver transplantation, moyamoya disease was diagnosed. Moyamoya disease is a rare cerebrovascular disease of unknown etiology. However, data exist supporting a possible role for some immunosuppressive regimens in determining the peculiar vascular alterations observed in moyamoya disease. To the best of our knowledge, the association with post-transplantation state for Wilson's disease has not been previously described.

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Source
http://dx.doi.org/10.1111/j.1872-034X.2010.00764.xDOI Listing

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