J Korean Neurol Assoc.
2008 May;26(2):139-141.
Hepatic Myelopathy Involving the Posterior Column
- Affiliations
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- 1Departments of Neurology, Korea University College of Medicine, Seoul, Korea. nukbj@korea.ac.kr
Abstract
- Hepatic myelopathy is a rare neurological complication of chronic liver disease, and is characterized by a progressing spastic paraparesis without any sensory loss. However, a few recent reports suggest that involvement of the sensory system is also possible in hepatic myelopathy. We present a patient with hepatic myelopathy, who had impaired proprioception and a delayed cortical response of somatosensory evoked potentials. This supports the hypothesis that hepatic myelopathy may involve the sensory system as well as the motor system.