Photo by mattykwong1 from unsplash
A 57-year-old man with alcoholic cirrhosis presented with a 4-year history of hepatic encephalopathy (HE) and progressive gait impairment that worsened during HE (video 1). Examination disclosed spasticity and weakness… Click to show full abstract
A 57-year-old man with alcoholic cirrhosis presented with a 4-year history of hepatic encephalopathy (HE) and progressive gait impairment that worsened during HE (video 1). Examination disclosed spasticity and weakness in lower limbs. Brain MRI showed hyperintense signal in basal ganglia and spectroscopy disclosed increased glutamine/glutamate and decreased myo-inositol (figure). Spine MRI was normal, and other causes were ruled out. Hepatic myelopathy was diagnosed.
Keywords:
video;
hepatic myelopathy;
spectroscopy;
neuroimages hepatic;
video neuroimages;
teaching video
Journal Title: Neurology
Year Published: 2019
Link to full text (if available)
Share on Social Media: Sign Up to like & get
recommendations!
Journal Title: Neurology
Year Published: 2019
Link to full text (if available)
Share on Social Media: Sign Up to like & get
recommendations!