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November 23, 2004; 63 (10) Brief Communications

Sirolimus may not cause neurotoxicity in kidney and liver transplant recipients

Boby V. Maramattom, Eelco F.M. Wijdicks
First published November 22, 2004, DOI: https://doi.org/10.1212/01.WNL.0000144351.63740.81
Boby V. Maramattom
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Eelco F.M. Wijdicks
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Citation
Sirolimus may not cause neurotoxicity in kidney and liver transplant recipients
Boby V. Maramattom, Eelco F.M. Wijdicks
Neurology Nov 2004, 63 (10) 1958-1959; DOI: 10.1212/01.WNL.0000144351.63740.81

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Abstract

Neurotoxicity associated with calcineurin inhibitors cyclosporin A and tacrolimus is established. Sirolimus is a new agent related to tacrolimus, but its mechanism of action differs. The authors reviewed 202 transplant recipients treated with sirolimus from 2001 to 2004. They found no evidence of neurotoxicity with sirolimus therapy for up to 18 months (range, 15 days to 3 years). Sirolimus could be considered a substitute immunosuppressant for patients with cyclosporin A or tacrolimus neurotoxicity.

  • Received April 16, 2004.
  • Accepted July 9, 2004.
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Letters: Rapid online correspondence

  • Reply to Kasner et al
    • Eelco Wijdicks, Mayo Clinic, Rochester, MN 55905wijde@mayo.edu
    • Boby V. Maramattom
    Submitted March 08, 2005
  • Sirolimus may not cause neurotoxicity in kidney and liver transplant recipients
    • Scott E. Kasner, University of Pennsylvania, 3400 Spruce Street/Neurology, Philadelphia, PA, 19104kasner@mail.med.upenn.edu
    • Kevin N. Sheth, Gregory F. Wu, Steven R. Messe, and Ronald L. Wolf.
    Submitted March 08, 2005
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