@entity879 is a rare complication of grand @entity410 with a high mortality, the prognosis being largely determined by the combination of the @entity99 . The mechanisms of @entity879 secondary to grand @entity302 and the place of liver transplantation in this context are poorly defined and are the subject of this report. A series of 6 such @entity1 is presented. All had a history of chronic primary or post-traumatic @entity302 and presented with @entity879 shortly after a grand mal fit. Detailed accounts of background, presentation, and management are given and integrated with blood, radiologic, and histologic investigations. Two of the 6 @entity1 survived, 1 making a full recovery and the other with @entity16 . Two @entity1 underwent liver transplantation but died with severe @entity16 despite improving liver function. The remaining 2 @entity1 were considered too ill to undergo liver transplantation and died in @entity881 . Liver histology from needle biopsy and/or native liver explants identified lesions compatible with a combination of @entity1560 and @entity39 . Factor V and transaminase levels may allow early identification of @entity1 in whom liver function is likely to improve spontaneously. In conclusion, the mechanisms of @entity1578 occurring after grand @entity410 appear multifactorial, including @entity519 , @entity1560 , and drug-induced components. The neurological prognosis and overall survival of these @entity1 remains poor.

@entity879 after grand XXXX : mechanisms and role of liver transplantation.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity410 :: ('MESH:D012640', 'Disease') :: ['mal seizures'] @entity1560 :: ('MESH:D005234', 'Disease') :: ['steatosis'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity879 :: ('MESH:D017114', 'Disease') :: ['acute liver failure', 'Fulminant liver failure'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologic sequelae'] @entity1578 :: ('MESH:D017093', 'Disease') :: ['liver failure'] @entity519 :: ('MESH:D000860', 'Disease') :: ['hypoxia'] @entity302 :: ('MESH:D004827', 'Disease') :: ['mal epilepsy', 'epilepsy'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multiple organ failure'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic and neurologic insults']
@entity410 :: (MESH:D012640,Disease) :: ['mal seizures']
