EXTRAPYRAMIDAL DISORDER SECONDARY TO CYTOMEGALOVIRUS-INFECTION AND TOXOPLASMOSIS AFTER LIVER-TRANSPLANTATION

A boy underwent liver transplantation for postnecrotic Cirrhosis secon dary to Wilson's disease. The patient had no neurological clinical man ifestations prior to the transplantation. The patient developed dysart hria, dysphagia, spasticity rigidity, and intention and resting tremor of all extremities. Cranial computerized tomography revealed hypodens ity of the thalamus, basal ganglia and external capsule. Anti-cytomega lovirus IgM became positive. At autopsy. there mere severe pathologica l changes at the thalamus and basal ganglia.