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14 April 2026 : Original article  

Incidence, Clinical Features, and Risk Factors of Early Neurological Complications After Orthotopic Liver Transplantation: A Single-Center Experience

Federica Avorio ORCID logo ABDEF 1*, Giovanna Russelli ORCID logo B 2, Rossella Alduino BC 2, Giovanna Panarello BD 3, Alessio Provenzani DF 4, Antonio Arcadipane AE 3, Salvatore Gruttadauria ADE 5,6, Vincenzina Lo Re ORCID logo ADEFG 1

DOI: 10.12659/AOT.946854

Ann Transplant 2026; 31:e946854

Table 3 Clinical, instrumental, and prognostic details of NCs.

NCn (%)
97
125
53 (14.1)
14 (3.7)
14 (3.7)
11 (2.9)
11 (2.9)
5 (1.3)
4 (1.1)
4 (1.1)
1 (0.3)
8 (2.1)
97
40
 Normal9
 Minor EEG abnormalities26
 Major EEG abnormalities4
57
 CT/MRI abnormalities27
24
 FK dose reduction4
 FK withheld20
 None or minor77
 Severe11
 Death because of NC9
The most frequent was delirium/metabolic encephalopathy followed by seizures and clinical manifestations of neurotoxicity. Percentages were calculated on the total of 376 enrolled patients. N – number; NCs – neurological complications; ODS – osmotic demyelinating syndrome; PNS – peripheral nervous system; CNS – central nervous system; EEG – electroencephalogram; CT – computed tomography; MRI – magnetic resonance imaging; FK – tacrolimus.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358