Liver transplantation in hepatic myelopathy

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Küçük Resim

Tarih

2022

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.