{Reference Type}: Case Reports
{Title}: Liver transplantation in hepatic myelopathy.
{Author}: Acar S;Dinckan A;Akyildiz M;
{Journal}: Hepatol Forum
{Volume}: 3
{Issue}: 2
{Year}: May 2022
暂无{DOI}: 10.14744/hf.2021.2021.0004
{Abstract}: 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.