HEPATIC MYELOPATHY - AN UNUSUAL NEUROLOGICAL COMPLICATION OF ADVANCED HEPATIC-DISEASE

被引：19

作者：

SOBUKAWA, E

SAKIMURA, K

HOSHINO, S

HOSHINO, M

MIYOSHI, K

机构：

[1] Department of Internal Medicine, Omiya Red Cross Hospital

来源：

INTERNAL MEDICINE | 1994年 / 33卷 / 11期

关键词：

LIVER CIRRHOSIS; DEMYELINATION; SPASTIC PARAPRAGIA;

D O I：

10.2169/internalmedicine.33.718

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Encephalopathy is widely known as one of the neurological complications of chronic hepatic disease. Recently, the occurrence of progressive myelopathy in patients with advanced hepatic disease has been well documented and differentiated from encephalopathy. We describe a 76-year-old man with decompensatory liver cirrhosis due to hepatitis C virus infection who suffered from progressive paraplegia. Postmortem examination revealed demyelination of the lateral column of the spinal cord, especially of the thoracic segment. No evidence of spontaneous portosystemic shunts was found. These findings suggest that the patient had been affected with hepatic myelopathy, which is a rare complication of liver cirrhosis.

引用

页码：718 / 722

页数：5

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