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RENAL TRANSPLANTASYON SONRASI GELİŞEN PSÖDOTÜMÖR SEREBRİ

PSEUDOTUMOR CEREBRI DEVELOPMENT AFTER RENAL TRANSPLANTATION

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Abstract (2. Language): 
Pseudotumor cerebri (PTC) is a syndrome with increased intracranial pressure (>200mmH2O) and characterized by headache, loss of vision and papiledema. Many drugs and diseases may lead to this clinical picture and Cyclosporin A is one of them. A 17-year-old case with PTC who had undergone cadaveric renal transplantation due to chronic renal failure secondary to reflux nephropathy after six months' duration of hemodialysis program and who was on CyA, azathioprine and steroid as immune suppressants for 3 years after transplantation is reported hereby. It should be kept in mind that the patients who undergo renal transplantation and who are on treatment modalities including CyA are at risk of PTC and delay of prompt treatment may lead to blindness.
Abstract (Original Language): 
Psödotümör serebri (PTS) intrakranial basınç artmasıyla (>200 mmHıO) birlikte baş ağrısı, görme alanı kaybı ve papil ödemi ile karakterize bir sendromdur. Bir çok hastalık ve ilaç kullanımı bu tabloya yol açmaktadır ve Siklosporin A (CyA) da bu ajanlardan biridir. Burada reflü nefropatisine sekonder kronik böbrek yetmezliği sebebi ile 6 ay hemodiyaliz programında izlenip kadaverik renal transplantasyon yapılan, CyA, azothioprine ve steroidden oluşan immiinsupressif tedavi protokolü uygulanırken transplantasyondan 3 yıl sonra PTS tablosu ile başvuran 17yaşında bir olgu sunulmuştur. Renal transplantasyon uygulanan ve CyA içeren tedavi protokolü uygulanan olgularda PTS tablosunun gelişebilecek komplikasyonlardan biri olduğu bilinmeli, tedavideki gecikmenin görme kaybına yol açacağı unutulmamalıdır.
FULL TEXT (PDF): 
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