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Liver Transplantation Reverses Hepatic Myelopathy in the Decompensated Phase of Cirrhosis:Case Report and Literature Review
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作者 Jiajun Li Sile Wan +4 位作者 fukai wen Qingyu Li Yifeng Cui Zhaoyang Lu Han Lin 《Journal of Clinical and Translational Hepatology》 SCIE 2024年第4期436-442,共7页
Hepatic myelopathy(HM)is a rare neurological complication in the end stage of many liver diseases and is characterized by bilateral spastic paraparesis without sensory and sphinc-ter dysfunction.It occurs owing to met... Hepatic myelopathy(HM)is a rare neurological complication in the end stage of many liver diseases and is characterized by bilateral spastic paraparesis without sensory and sphinc-ter dysfunction.It occurs owing to metabolic disorders and central nervous system dysfunction associated with cirrhosis.Without timely and effective clinical intervention,the progno-sis of these patients is devastating.Although liver transplan-tation(LT)is an effective treatment for HM,the prognosis of these patients remains unsatisfactory.Early recognition and diagnosis of this disease are essential for improving patient prognosis.Here,we report a case of hepatitis B virus-asso-ciated decompensated cirrhosis with HM.The patient recov-ered well after LT.We also summarize the clinical character-istics and post-transplant outcomes of 25 patients with HM treated by LT through 2023,including this case. 展开更多
关键词 Hepatic myelopathy Hepatic encephalopathy Spastic paraparesis Portosystemic shunt Liver transplantation
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