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Hepatic myelopathy after splenorenal shunting: report of one case and review of the literature

Yengue, P.; Adler, M.; Bouhdid, H.; Mavroudakis, N.; Gelin, M.; Bourgeois, N.

Acta Gastro-Enterologica Belgica 64(2): 231-233

2001

ISSN/ISBN: 1784-3227
PMID: 11475143
Document Number: 534610
Hepatic myelopathy is a rare complication of cirrhosis, usually associated with surgical or spontaneous porto-systemic shunts. Its pathophysiology is unknown. It is characterized by a motor involvement of the lower limbs without clinical sensory abnormality, leading to spastic paraparesis. These neurological features are related to a symmetric loss of myelin in the lateral corticospinal tracts. Usefulness of liver transplantation in this setting is not yet determined. We describe here the case of a 29-year-old male who presented with progressive spastic paraparesis of the lower limbs 3 years after a spleno-renal shunt.

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