Spastic paraparesis associated with advanced liver cirrhosis: a condition obscure in terms of treatment and prognosis.
Hepatic myelopathy or spastic paraparesis of liver disease is an insidious onset condition with pure motor spastic paraparesis without sensory, bladder or bowel involvement in patients with chronic liver disease, in which the neurological dysfunction cannot be explained by other causes. It is a rare, relentlessly progressive and mostly irreversible neurological complication resulting from portosystemic shunts occurring spontaneously, created surgically or due to 'functional shunting'. In some cases, no evidence of shunting is elicitable due to difficulty in locating the hidden collaterals. We report this rare case of a 33-year-old man with chronic liver disease presenting with spastic paraparesis after 11 months of resolution of an episode of hepatic encephalopathy.
['Kaur|Jaspreet|J|', 'Jesrani|Gautam|G|', 'Gupta|Monica|M|http://orcid.org/0000-0002-3992-1013', 'Lehl|Sarabmeet Singh|SS|']
D000328:Adult D000641:Ammonia D003937:Diagnosis, Differential D018450:Disease Progression D006501:Hepatic Encephalopathy D006801:Humans D008104:Liver Cirrhosis, Alcoholic D008297:Male D009460:Neurologic Examination D020336:Paraparesis, Spastic D010346:Patient Care Management D011379:Prognosis D013118:Spinal Cord Diseases D016896:Treatment Outcome
cirrhosis alcoholic liver disease spinal cord