Landin L, Cavadas PC, Nthumba P, Muñoz G, Gallego R, Belloch V, Avila C, Loro M, Ibañez J, Roger I, Linares-Martinez N. Morphological and functional evaluation of visual disturbances in a bilateral hand allograft recipient.
J Plast Reconstr Aesthet Surg 2009;
63:700-4. [PMID:
19237332 DOI:
10.1016/j.bjps.2008.12.033]
[Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2008] [Accepted: 12/22/2008] [Indexed: 12/22/2022]
Abstract
Allograft recipients are exposed to risks owing to immunosuppression, and there is always the possibility that psychological issues interfere with the procedure's outcomes. An episode of blindness was suspected in a bilateral hand allograft recipient. The patient underwent a multidisciplinary evaluation, and clinical, electrophysiological, laboratory and a combination of functional and morphological magnetic resonance imaging (MRI) tests ruled out any visual process and revealed a secondary benefit, which turned out to be the use of privileges of the transplant support centre for several months. Composite tissue allograft recipients require a thorough psychological assessment before and after transplant procedures to prevent malingering.
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