title: Hepatic myelopathy: an unusual neurological complication of chronic liver disease presenting as quadriparesis.
abstract: Hepatic myelopathy is a rare neurological complication of chronic liver disease, which is usually seen in adults, presenting as pure motor spastic paraparesis. It is almost always associated with portosystemic shunts and hepatic decompensation. We report a rare case of a young adult man presenting as rapidly progressive spastic quadriparesis because of hepatic myelopathy and associated spontaneous splenorenal shunt and early hepatic decompensation.
authors.affiliation: Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Prakash
authors.initials: P
authors.lastname: Kori
authors.forename: Ritesh
authors.initials: R
authors.lastname: Sahu
authors.forename: Anupam
authors.initials: A
authors.lastname: Jaiswal
authors.forename: Rakesh
authors.initials: R
authors.lastname: Shukla
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D002908:Chronic Disease; D013505:Digestive System Surgical Procedures; D006801:Humans; D008107:Liver Diseases / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D011782:Quadriplegia; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D016896:Treatment Outcome
chemical_list: D000319:Adrenergic beta-Antagonists