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Fixed Pupillary Light Reflex due to Peripheral Neuropathy after Liver Transplantation

Authors
 Kwan Hyung Kim  ;  Namo Kim  ;  Sungwon Na  ;  Jaewon Jang  ;  Jeongmin Kim 
Citation
 Korean Journal of Critical Care Medicine, Vol.30(3) : 191-195, 2015-08 
Journal Title
 Korean Journal of Critical Care Medicine 
ISSN
 2383-4870 
Issue Date
2015-08
Keywords
Adie syndrome ; liver transplantation ; peripheral nervous system diseases ; reflex, pupillary
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.
Files in This Item:
T999201505.pdf Download
DOI
10.4266/kjccm.2015.30.3.191
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Namo(김남오) ORCID logo https://orcid.org/0000-0002-0829-490X
Kim, Jeongmin(김정민) ORCID logo https://orcid.org/0000-0002-0468-8012
Na, Sungwon(나성원) ORCID logo https://orcid.org/0000-0002-1170-8042
Jang, Jaewon(장재원) ORCID logo https://orcid.org/0000-0002-1997-8733
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181641
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