Hepatic Myelopathy in a Patient with Decompensated Alcoholic Cirrhosis and Portal Colopathy

Hindawi Limited - Tập 2012 - Trang 1-4 - 2012
Madhumita Premkumar1, Avishek Bagchi1, Neha Kapoor1, Ankit Gupta1, Gaurav Maurya1, Shubham Vatsya1, Siddharth Kapahtia1, Premashish Kar1
1Department of Medicine, B. L. Taneja Block, Maulana Azad Medical College and Associated Hospitals, Bahadur Shah Zafar Marg, New Delhi 110002, India

Tóm tắt

Cirrhotic or hepatic myelopathy is a rare neurological complication of chronic liver disease usually seen in adults and presents as a progressive pure motor spastic paraparesis which is usually associated with overt liver failure and a surgical or spontaneous systemic portocaval shunt. We describe the development of progressive spastic paraparesis, in a patient with alcoholic cirrhosis with portal hypertension and portal colopathy who presented with the first episode of hepatic encephalopathy. The patient had not undergone any shunt procedure.

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