Annals of Indian Academy of Neurology
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ORIGINAL ARTICLE
Year : 2015  |  Volume : 18  |  Issue : 1  |  Page : 15-19

Plasmapheresis in neurological disorders: Experience from a tertiary care hospital in South India


Department of Neurology, Medical College, Calicut, Kerala, India

Correspondence Address:
K Saifudheen
Department of Neurology, Medical College, Calicut - 673 008, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.144301

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Background: Therapeutic plasma exchange (PE) or plasmapheresis is the treatment of choice in many neurological disorders. Even though it is safe in experienced hands, there is a major concern about its safety among physicians. Objectives: To analyze our experience with 230 patients who underwent PE for various neurological disorders. Materials and Methods: Retrospective review of PE procedures done during a period of 48 months, from July 2007 to June 2011 in a tertiary care teaching hospital in South India. Indications, clinical results and technical factors are discussed. Results: The main indication for PE was GBS (203 patients; 88.3%). Age of patients ranged from 14-65 (mean = 42.3 years). The most common complications were paraesthesias and/or cramps (36.1%) and hypotension (32.2%). Four pregnant patients who underwent PE had good recovery with one intrauterine death. There was no mortality. Conclusion: The analysis of 240 cases of PE done in our department shows that the procedure is safe, with only minimal procedure related complications and no mortality.


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