Hepatic myelopathy: a rare complication of portacaval shunt.
Myelopathy is a rare complication of chronic liver disease associated with extensive portal-systemic shunt of blood. Its main clinical feature is a spastic paraparesis without sensory or sphincteric impairment. We describe 3 patients who presented hepatic myelopathy following the performance of a portacaval shunt.
Mendoza
G
G
Department of Neurology, Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, Spain.
Marti-Fàbregas
J
J
Kulisevsky
J
J
Escartín
A
A
D000328:Adult; D000368:Aged; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000209:etiology; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery*; D008111:Liver Function Tests; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009128:Muscle Spasticity / Q000209:etiology; D009460:Neurologic Examination; D010264:Paraplegia / Q000209:etiology*; D011167:Portacaval Shunt, Surgical; D011183:Postoperative Complications / Q000209:etiology*