A Case of Peripheral Neuropathy after 2 Consecutive Liver Transplantation

J Korean Assoc EMG Electrodiagn Med 2008;10(2):191-195.
Published online December 1, 2008.

Abstract

A 29 year old man, carrier of B viral hepatitis, was diagnosed with level C liver cirrhosis according toChild Pugh classification in March 2007. The liver cirrhosis progressed to liver failure and the patientreceived his first liver transplantation in May 2007 which was failed due to portal embolism. The patientunderwent second operation after 14 days using a cadaveric liver and spent 33 days in an intensive careunit. Four months after the second liver transplantation, the patient was referred to electrodiagnostic labfor weakness and muscular atrophy of extremities. The patient showed abnormality in the left median,ulnar and bilateral peroneal nerves and was diagnosed with peripheral polyneuropathy. Follow up electrodiagnostictest after thirteen months showed improvement in polyneuropathy.

Key Words: Polyneuropathy, Liver transplantation, Electromyography