Liver transplantation in hepatic myelopathy
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Dosyalar
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Association for the Study of the Liver
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Hepatic myelopathy (HMy) is a rare neurological complication of liver cirrhosis that involves spastic paraplegia caused by lateral cord demyelination especially due to the accumulation of some metabolites such as ammonia and manganese. We report a young adult woman presenting with spasticity and paraparesis in extremities after intrahepatic portosystemic shunting (TIPS) application and underwent deceased liver transplantation (LT). A 39-year-old woman underwent deceased LT because of cryptogenic liver cirrhosis. She underwent a TIPS procedure 5 years ago. After that, hepatic encephalopathy and spasticity appeared. She was on the waiting list for 3 years. Neurological findings after LT significantly decreased, but did not return to normal. After the emergence of neurological findings, the earlier LT can provide improvement in neurological findings.
Açıklama
Anahtar Kelimeler
Cirrhosis, Hepatic Myelopathy, Liver Transplantation
Kaynak
Hepatology Forum
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
3
Sayı
2
Künye
Acar S, Dinckan A, Akyildiz M. Liver transplantation in hepatic myelopathy. Hepatol Forum. 2022 Apr 26;3(2):64-65. doi: 10.14744/hf.2021.2021.0004. PMID: 35783476; PMCID: PMC9243758.