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.

Jun 17, 2024 · Hepatic myelopathy is a very rare neurological complication of chronic liver disease. Patients habitually present with progressive pure motor spastic paraparesis. This neurological dysfunction is almost always due to cirrhosis and …

Hepatic Myelopathy is a rare neurological complication of chronic liver disease usually seen in adults and presents as a disabling progressive pure motor spastic paraparesis which is almost always associated with overt liver failure and a systemic porto-caval shunt.

Hepatic myelopathy, or shunt myelopathy, is another rare complication of chronic liver cirrhosis associated with portosystemic shunting (Case 10-2). Clinically, development of a progressive severe spastic paraparesis with sparing of sensation and sphincter function is seen.

Hepatic myelopathy (HM) is a rare neurological complication in the end stage of many liver diseases and is characterized by bilateral spastic paraparesis without sensory and sphincter dysfunction. It occurs owing to metabolic disorders and central ...

Oct 10, 2022 · Hepatic myelopathy (HM) is a rare neurological complication of advanced cirrhosis. Prognosis of patients with HM is generally poor without timely liver transplantation or interventional therapy. Self-resolving HM in patients with …

Hepatic myelopathy is a rare complication of chronic liver disease that is associated with extensive portosystemic shunts. The main clinical feature of hepatic myelopathy is progressive spastic paraparesis in the absence of sensory or sphincter impairment.

Jul 15, 2019 · Hepatic myelopathy is an unusual complication of liver disease and is characterized by progressive spasticity and lower limbs weakness over the years. 1 Symptoms usually worsen during HE episodes. Treatment of HE and liver transplantation may partially improve gait. 2

Apr 26, 2022 · Hepatic myelopathy (HMy) is a rare neurological complication of liver cir-rhosis that involves spastic paraplegia caused by lateral cord demyelination especially due to the accumulation of some metabolites such as ammonia and manganese.

Jun 17, 2024 · Hepatic myelopathy is a severe and debilitating neurological complication of chronic liver disease. The pathogenesis is misunderstood and seems to be multifactorial, including the selective neurotoxic role both of ammonia and other pathogenic neurotoxins.