TY - JOUR
T1 - Neuropsychological functioning among individuals infected with hepatitis C
T2 - A comparison of pre- and post-transplant performance
AU - Sakamoto, Maiko
AU - Hilsabeck, Robin C.
AU - Hammel, Meghan
AU - Barakat, Fatma
AU - Hassanein, Tarek
AU - Perry, William
PY - 2015
Y1 - 2015
N2 - It is well established that patients with end stage liver disease (ESLD) experience cognitive and mood problems; however, little is known about changes in cognitive and emotional functioning following liver transplantation, especially over the past decade with the epidemic of hepatitis C virus (HCV) infection taking over as the leading indication for liver transplantation. Seventeen patients with ESLD secondary to chronic HCV were assessed pre-and post-liver transplantation using a comprehensive neuropsychological battery. After an average of four years post-transplant, patients demonstrated significant improvements in most cognitive functioning and depressive symptoms. However, 18% of liver recipients continued to exhibit mild cognitive impairment mainly in areas of attention/executive functioning, motor speed, and learning. Liver transplantation is a life-extending surgery that reverses most, but not all, cognitive and mood difficulties. It is crucial to evaluate cognition after liver transplantation, especially in these three domains, and to consider the effect on daily functioning.
AB - It is well established that patients with end stage liver disease (ESLD) experience cognitive and mood problems; however, little is known about changes in cognitive and emotional functioning following liver transplantation, especially over the past decade with the epidemic of hepatitis C virus (HCV) infection taking over as the leading indication for liver transplantation. Seventeen patients with ESLD secondary to chronic HCV were assessed pre-and post-liver transplantation using a comprehensive neuropsychological battery. After an average of four years post-transplant, patients demonstrated significant improvements in most cognitive functioning and depressive symptoms. However, 18% of liver recipients continued to exhibit mild cognitive impairment mainly in areas of attention/executive functioning, motor speed, and learning. Liver transplantation is a life-extending surgery that reverses most, but not all, cognitive and mood difficulties. It is crucial to evaluate cognition after liver transplantation, especially in these three domains, and to consider the effect on daily functioning.
KW - Cognitive impairment
KW - Depressive symptoms
KW - End stage liver disease
KW - Hepatitis C
KW - Liver transplantation
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UR - http://www.scopus.com/inward/citedby.url?scp=84930333833&partnerID=8YFLogxK
U2 - 10.7358/neur-2015-017-saka
DO - 10.7358/neur-2015-017-saka
M3 - Article
AN - SCOPUS:84930333833
VL - 17
SP - 67
EP - 83
JO - Neuropsychological Trends
JF - Neuropsychological Trends
SN - 1970-321X
IS - 1
ER -