The Journal of Spinal Surgery

Register      Login

VOLUME 1 , ISSUE 1 ( January-March, 2014 ) > List of Articles

CASE REPORT

A Rare Complication of Cirrhosis: Hepatic Myelopathy

Sofiene Bouali, Adenane Boubaker, Asma Bouhoula, Jalel Kallel, Aoiuj Lassaad, Hafedh Jemel

Citation Information : Bouali S, Boubaker A, Bouhoula A, Kallel J, Lassaad A, Jemel H. A Rare Complication of Cirrhosis: Hepatic Myelopathy. J Spinal Surg 2014; 1 (1):49-51.

DOI: 10.5005/jp-journals-10039-1011

Published Online: 01-06-2016

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Introduction

Hepatic myelopathy is characterized by spastic paraparesis and minimal sensory abnormalities in patients with cirrhosis, particularly those with portosystemic shunts that have been created surgically or have occurred spontaneously.

Materials and methods

We described a patient who presented with spastic paraparesis and diagnosed as hepatic myelopathy when all the other possible diagnoses were ruled out with a review of literature in the goal of promoting prompt recognition and enhancing understanding of HM.

Results

We reported a patient aged 51 years who presented with spastic paraparesis with insidious onset and progressive course and diagnosed as hepatic myelopathy.

Conclusion

Unlike hepatic encephalopathy, hepatic myelopathy is usually considered irreversible.

How to cite this article

Bouali S, Boubaker A, Bouhoula A, Kallel J, Lassaad A, Jemel H. A Rare Complication of Cirrhosis: Hepatic Myelopathy. J Spinal Surg 2014;1(1):49-51.


PDF Share
  1. Hepatic myelopathy, an unusual neurological complication of advanced hepatic disease. Internal Medicine 1994;33:718-722.
  2. Liver Kupffer cells control the magnitude of the inflammatory response in the injured brain and spinal cord. Neuropharmacology 2008;55:780-787.
  3. Hepatic myelopathy, an unusual complication of advanced hepatic disease. Annals of neurosciences 2007;14.
  4. Butterworth: neuronal cell death in hepatic encephalopathy. Metabolic Brain Disease 2007;22:309-320.
  5. Clinical Neurology and Neurosurgery 1996;98:242-246.
  6. The role of liver transplantation in the treatment of hepatic myelopathy: case report with review of the literature. Transplantation Proceedings 2009;41:1987-1989.
  7. Liver Transplantation 2010;16:1336-1337.
  8. Hepatic myelopathy as a presenting neurological complication in patients with cirrhosis and spontaneous splenorenal shunt. The Korean journal of hepathology 2008;14: 89-96.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.