PMID- 23983885 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130828 LR - 20211021 IS - 1941-8744 (Print) IS - 1941-8752 (Electronic) IS - 1941-8744 (Linking) VI - 3 IP - 1 DP - 2013 Jan TI - Neurological complications of transplantation: part I: hematopoietic cell transplantation. PG - 24-38 LID - 10.1177/1941874412455338 [doi] AB - Hematopoietic cell transplantation (HCT) is the preferred treatment for an expanding range of neoplastic and nonmalignant conditions. Increasing numbers of solid organ transplantations (SOTs) add an additional population of immunosuppressed patients with multiple potential neurological problems. While the spectrum of neurological complications varies with conditioning procedure and hematopoietic cell or solid organ source, major neurological complications occur with all transplantation procedures. This 2 part review emphasizes a practical consultative approach to central and peripheral nervous system problems related to HCT or SOT with clinical and neuroimaging examples from the authors' institutional experience with the following conditions: the diversity of manifestations of common infections such as varicella zoster virus, Aspergillus, and progressive multifocal leukoencephalopathy (PML), drug therapy-related complications, stroke mechanisms, the spectrum of graft versus host disease (GVHD), and neurologically important syndromes of immune reconstitution inflammatory syndrome (IRIS), posterior reversible encephalopathy syndrome (PRES), and posttransplantation lymphoproliferative disorder (PTLD). These complications preferentially occur at specific intervals after HCT and SOT, and neurological consultants must recognize an extensive spectrum of syndromes in order to effect timely diagnosis and expedite appropriate treatment. FAU - Pruitt, Amy A AU - Pruitt AA AD - Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA. FAU - Graus, Francesc AU - Graus F FAU - Rosenfeld, Myrna R AU - Rosenfeld MR LA - eng PT - Journal Article PL - United States TA - Neurohospitalist JT - The Neurohospitalist JID - 101558199 PMC - PMC3726122 OTO - NOTNLM OT - Aspergillus OT - graft versus host disease OT - hematopoietic cell transplantation OT - immune reconstitution inflammatory syndrome OT - organ transplantation OT - posterior reversible encephalopathy syndrome OT - posttransplantation lymphoproliferative disorder OT - progressive multifocal leukoencephalopathy OT - varicella zoster virus COIS- Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2013/08/29 06:00 MHDA- 2013/08/29 06:01 PMCR- 2013/01/01 CRDT- 2013/08/29 06:00 PHST- 2013/08/29 06:00 [entrez] PHST- 2013/08/29 06:00 [pubmed] PHST- 2013/08/29 06:01 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - 10.1177_1941874412455338 [pii] AID - 10.1177/1941874412455338 [doi] PST - ppublish SO - Neurohospitalist. 2013 Jan;3(1):24-38. doi: 10.1177/1941874412455338.