TY - JOUR AU - Sala, Elisa AU - Neagoie, Adela M AU - Lewerenz, Jan AU - Saadati, Maral AU - Benner, Axel AU - Gantner, Andrea AU - Wais, Verena AU - Döhner, Hartmut AU - Bunjes, Donald TI - Neurologic Complications of the Central Nervous System after Allogeneic Stem Cell Transplantation: The Role of Transplantation-Associated Thrombotic Microangiopathy as a Potential Underreported Cause. JO - Transplantation and cellular therapy VL - 30 IS - 6 SN - 2666-6375 CY - [Amsterdam] PB - Elsevier B. V. M1 - DKFZ-2024-00581 SP - 586.e1-586.e11 PY - 2024 N1 - 2024 Jun;30(6):586.e1-586.e11 AB - neurological complications (NC), especially those of the central nervous system (CNS), represent a severe complication after allogeneic stem cell transplantation (allo-HSCT) and are associated with relevant morbidity and mortality.we aim to characterize the potential risk factors for the development of CNS-NC with a special focus on the role of calcineurin inhibitors (CNI) as a predisposing factor. For this purpose, we compared Cyclosporin A (CsA) versus Tacrolimus (TAC) with respect to their influence on the incidence and type of CNS-NC after allo-HSCT.we retrospectively analyzed incidence, risk factors and impact on outcome of CNS-NC diagnosed during the post-transplantation follow-up in patients with different high-risk hematological malignancies who underwent allo-HSCT at our institution over a time frame of 20 years. All patients included in the analysis received CNI (CsA or TAC) as graft versus host disease (GVHD) prophylaxis.we evaluated a total of 739 consecutive patients transplanted from 12/1999 to 04/2019. Within a median follow-up period of 6.8 years, we observed a CNS-NC incidence of 17 KW - allogeneic stem cell transplantation (Other) KW - neurological complications (Other) KW - tacrolimus (Other) KW - transplantation-associated thrombotic microangiopathy (Other) LB - PUB:(DE-HGF)16 C6 - pmid:38508452 DO - DOI:10.1016/j.jtct.2024.03.017 UR - https://inrepo02.dkfz.de/record/289081 ER -