Spontaneous remission of hepatic myelopathy in a patient with alcoholic cirrhosis: A case report

被引：0

作者：

Chang, Chun-Yan ^{[1
]}

Liu, Chen ^{[1
]}

Duan, Fang-Fang ^{[1
]}

Zhai, Hang ^{[1
]}

Song, Shan-Shan ^{[1
]}

Yang, Song ^{[1
]}

机构：

[1] Capital Med Univ, Beijing Ditan Hosp, Div Ctr Hepatol 3, 8 Jingshun East St, Beijing 100015, Peoples R China

来源：

WORLD JOURNAL OF CLINICAL CASES | 2022年 / 10卷 / 30期

关键词：

Alcoholic cirrhosis; Hepatic myelopathy; Hepatic encephalopathy; Spastic paraparesis; Therapeutics; Case report; FECAL MICROBIOTA TRANSPLANTATION; LIVER-TRANSPLANTATION; ENCEPHALOPATHY; PARAPARESIS; SHUNT; REVERSAL;

D O I：

10.12998/wjcc.v10.i30.11172

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND 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 alcoholic cirrhosis has never been reported. CASE SUMMARY A 53-year-old man with alcoholic cirrhosis and recurrent overt hepatic encephalopathy for 1 year was admitted for lower extremity weakness, slow movement, and stumbling gait. The patient was diagnosed with HM after excluding other causes of spastic paraparesis. The patient refused liver transplantation. However, the patient kept total abstinence and received a multidisciplinary treatment for complications of decompensated cirrhosis. The symptoms of HM resolved gradually after 2 years of treatment. All complications of alcoholic cirrhosis resolved after 4 years of follow-up. CONCLUSION The case demonstrates that HM can resolve in patients without liver transplan-tation after total abstinence and systemic management of complications.

引用

页码：11172 / 11177

页数：6

共 28 条

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