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CASE REPORT
Year : 2013  |  Volume : 3  |  Issue : 4  |  Page : 392-395

Hepatic myelopathy in a patient with decompensated liver disease: An unusual complication


Department of Medicine, Government Medical College, Haldwani, Uttarakhand, India

Correspondence Address:
Vivekanand Satyawali
Type 4 Block, k2, Government Medical College Campus, Haldwani - 263 139, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2231-0738.119858

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Hepatic myelopathy (HM) is a rare neurological complication of the 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. We report a case of a 45-year-old male who presented with rapidly progressive spastic paraparesis due to HM and features of hepatic decompensation (postnecrotic cirrhosis), who presented with the second episode of hepatic encephalopathy. Patient had not undergone any shunt procedure.


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