Cyclosporine-A induced neurotoxicity after renal transplantation

Acta Neurol Belg. 2001 Jun;101(2):124-7.

Abstract

Cyclosporine-A is a highly potent immunosuppressive agent for solid organ transplantation, but has many side effects including nephrotoxicity, hypertension, gum hyperplasia, hepatotoxicity, and neurotoxicity. Neurotoxicity is a less known toxic effect. The pathogenesis of this effect is unclear. However, it has been postulated that hypomagnesemia, hypocholesterolemia, corticosteroids, and/or neurotoxic substances can induce this syndrome. Also, it has been suggested that the endothelial damage caused by Cyclosporine-A may contribute to neuropeptide-mediated ischemia in the brain and lead to the development of neurological symptoms. In this report, we present a case with reversible neurologic deficits whose symptoms returned to normal after the cessation of cyclosporine-A.

Publication types

  • Case Reports

MeSH terms

  • Brain Edema / chemically induced
  • Brain Edema / diagnosis
  • Cyclosporine / adverse effects*
  • Female
  • Graft Rejection / drug therapy
  • Humans
  • Immunosuppressive Agents / adverse effects*
  • Kidney Transplantation* / adverse effects
  • Middle Aged
  • Nervous System Diseases / chemically induced*
  • Nervous System Diseases / diagnosis
  • Seizures / chemically induced

Substances

  • Immunosuppressive Agents
  • Cyclosporine