{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T01:24:33Z","timestamp":1789781073094,"version":"4.0.1"},"reference-count":105,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T00:00:00Z","timestamp":1551312000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T00:00:00Z","timestamp":1551312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Orthotopic liver transplantation (LT) remains the only way to definitively cure patients with the most severe liver diseases. Because the survival rate is now fairly high, important questions about neurological sequelae or quality of life after LT have emerged. Indeed, LT represents a peculiar situation because up to 30% of patients present with neurological symptoms after LT compared with only 4% after cardiac transplant and 0.5% after renal transplant. These postoperative neurological symptoms have long been interpreted as sequelae of hepatic encephalopathy (HE). However, postoperative decompensation of an unknown cerebral condition due to the pathophysiology of cirrhosis or undiagnosed neurodegenerative disorders or aging constitute other possibilities that are underrecognized. Some patients who undergo LT for acute liver failure and patients with cirrhosis without episodes of HE and without any previous cerebral alteration also display post\u2010LT neurological symptoms. This latter situation speaks in favor of a direct adverse effect of either general anesthesia, the surgical procedure, or factors related to the postoperative intensive care unit (ICU) environment. The role of inflammation, which has been described in the ICU setting, could also be a crucial determinant. In this review, we will discuss the neurological complications associated with LT, the neurocognitive complications after LT, and how to assess the LT\u2010related neurological or neurocognitive complications. Furthermore, we will review the various hypotheses surrounding post\u2010LT neurocognitive impairment and will conclude with recommendations for future directions.<\/jats:p>","DOI":"10.1002\/lt.25420","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T06:50:34Z","timestamp":1548831034000},"page":"469-487","source":"Crossref","is-referenced-by-count":63,"title":["Neurological Complications Occurring After Liver Transplantation: Role of Risk Factors, Hepatic Encephalopathy, and Acute (on Chronic) Brain Injury"],"prefix":"10.1097","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5155-196X","authenticated-orcid":false,"given":"Nicolas","family":"Weiss","sequence":"first","affiliation":[{"name":"Brain Liver Piti\u00e9\u2010Salp\u00eatri\u00e8re (BLIPS) Study Group, Assistance Publique \u2013 H\u00f4pitaux de Paris, Groupement Hospitalier Piti\u00e9\u2010Salp\u00eatri\u00e8re\u2010Charles Foix, D\u00e9partement de Neurologie, Unit\u00e9 de R\u00e9animation Neurologique,Sorbonne Universit\u00e9,Paris,France"},{"name":"Centre de Recherche Saint\u2010Antoine (CRSA),Sorbonne Universit\u00e9, INSERM,Paris,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Thabut","sequence":"additional","affiliation":[{"name":"Centre de Recherche Saint\u2010Antoine (CRSA),Sorbonne Universit\u00e9, INSERM,Paris,France"},{"name":"Brain Liver Piti\u00e9\u2010Salp\u00eatri\u00e8re (BLIPS) Study Group, Assistance Publique \u2013 H\u00f4pitaux de Paris, Groupement Hospitalier Piti\u00e9\u2010Salp\u00eatri\u00e8re\u2010Charles Foix, Service d\u2019H\u00e9pato\u2010Gastroent\u00e9rologie, Unit\u00e9 de Soins Intensifs d\u2019H\u00e9pato\u2010Gastroent\u00e9rologie,Sorbonne Universit\u00e9,Paris,France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,2,28]]},"reference":[{"key":"lt25420-bib-0001-20240115","doi-asserted-by":"crossref","first-page":"2525","DOI":"10.1056\/NEJMra1208937","article-title":"Acute liver failure","volume":"369","year":"2013","journal-title":"N Engl J Med"},{"key":"lt25420-bib-0002-20240115","doi-asserted-by":"crossref","first-page":"1646","DOI":"10.1056\/NEJMra035021","article-title":"Management of cirrhosis and ascites","volume":"350","year":"2004","journal-title":"N Engl J Med"},{"key":"lt25420-bib-0003-20240115","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1056\/NEJMra1504367","article-title":"Treatment of patients with cirrhosis","volume":"375","year":"2016","journal-title":"N Engl J Med"},{"key":"lt25420-bib-0004-20240115","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1002\/lt.20137","article-title":"Survival after liver transplantation in 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