Document Detail

Hepatic myelopathy: a rare complication following extrahepatic portal vein occlusion and lienorenal shunt.
MedLine Citation:
PMID:  16936395     Owner:  NLM     Status:  MEDLINE    
A 19-year-old gentleman presented with slowly progressive spastic paraparesis, 2 years after the therapeutic lienorenal shunt for portal hypertension secondary to cirrhosis and portal vein occlusion. After 2 years of initial evaluation, the motor functions had not worsened further. He did not have any obvious clinical or EEG features of hepatic encephalopathy. Other causes for myelopathy were ruled out. Contribution of portal vein occlusion to portosystemic shunting has not been reported previously in patients with 'hepatic myelopathy.' This uncommon complication needs to be considered in patients with shunt surgery for relieving portal hypertension.
J Panicker; S Sinha; A B Taly; S Ravishankar; G R Arunodaya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurology India     Volume:  54     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-28     Completed Date:  2006-10-24     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  298-300     Citation Subset:  IM    
Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India.
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MeSH Terms
Hypertension, Portal / surgery*
Magnetic Resonance Imaging / methods
Paraparesis, Spastic / etiology*,  pathology
Portasystemic Shunt, Surgical / adverse effects*
Spinal Cord Diseases / etiology*,  pathology
Splenectomy / adverse effects*
Tomography Scanners, X-Ray Computed

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