Postshunt myelopathy.
Postshunt myelopathy is a rare, severely debilitating syndrome complicating portosystemic shunts that is characterized by spastic paraparesis. In this report we describe a 39-year-old woman with alcoholic liver disease and postshunt myelopathy resulting in an inability to walk. The syndrome did not become manifest until eight years after construction of a side-to-side portacaval shunt. This case is compared with reported literature on the subject.
Bain
V G
VG
Division of Gastroenterology, University of Alberta, Edmonton, Canada.
Bailey
R J
RJ
Jhamandas
J H
JH
D000328:Adult; D004932:Esophageal and Gastric Varices / Q000209:etiology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D010264:Paraplegia / Q000209:etiology*; D011167:Portacaval Shunt, Surgical / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D013997:Time Factors