[Acute paraparesis in chronic hepatic disease].
An acuta caude equina syndrome following portacaval shunt in a 64-year-old patient suffering from liver cirrhosis is reported. Diagnosis of a hepatic radiculopathy was confirmed by clinical and electrophysiological findings. A nearly complete remission of the neurological symptoms was achieved by treatment of the primary liver disease. Since there are only a few descriptions of severe hepatic polyneuro- and radiculopathies, the differential diagnosis of hepatic myelopathy is discussed.
Jeske
J
J
Klinik und Poliklinik für Neurologie und Psychiatrie, Universität zu Köln.
Schädlich
H J
HJ
Sandmann
J
J
Karbe
H
H
Haupt
W F
WF
Karenberg
A
A
D002420:Cauda Equina / Q000503:physiopathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery*; D008875:Middle Aged; D009460:Neurologic Examination; D010264:Paraplegia / Q000209:etiology* / Q000503:physiopathology; D010523:Peripheral Nervous System Diseases / Q000209:etiology / Q000503:physiopathology; D011167:Portacaval Shunt, Surgical; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology; D013577:Syndrome
Akute Paraparese bei chronischer Hepatopathie.