Trasplante renal y crisis epilépticas en la infancia

Abstract

Abstract The neurological clinical semiology that can be presented in the context of a renal transplant, understands a wide and varied fan of neurological illnesses. And a great part of the neurological complications of the renal transplant can develop convulsive crisis. Objective: It is sought to analyze the incidence of the convulsive seizures in the renal transplant, studying the characteristic semiológics of the convulsive episodes, their later evolution and the presence of possible sequels. He has been related the different potential causes of the seizures, with their evolution and with their treatment. Material and methods: During a 20 year-old period, they are revised in way retrospective 42 patients entered in the hospital with the diagnosis of renal transplant. The computer study of the 18 steps medical collections is carried out with the program SPSS 9.0.1. Results: Of the total of sick, 13 had suffered some type of convulsive seizure (30.95%), with a half age of appearance of the first crisis of 69 months. As factor desencadenant, there was an imbalance hydroelectrolyte in 8 cases, hypertension in 2, and other causes as soon as determined in the remaining ones. Alone in 3 cases that corresponded to previous epilepsies to the renal failure, they stayed the critical manifestations. Comments: The epileptic seizures of the renal transplant in the childhood can be considered as occasional seizures that are not accustomed to cronic neither to leave deficit sequels. The handling of the seizures in the renal failure should be disclosed among the professionals that assist systemic illnesses.