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Case Reports in Hepatology
Volume 2012 (2012), Article ID 735906, 4 pages
Case Report

Hepatic Myelopathy in a Patient with Decompensated Alcoholic Cirrhosis and Portal Colopathy

Department of Medicine, B. L. Taneja Block, Maulana Azad Medical College and Associated Hospitals, Bahadur Shah Zafar Marg, New Delhi 110002, India

Received 4 October 2012; Accepted 27 November 2012

Academic Editors: G. H. Koek, H. H. Lin, D. Lorenzin, C. Miyabayashi, and H. Uchiyama

Copyright © 2012 Madhumita Premkumar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cirrhotic or hepatic myelopathy is a rare neurological complication of chronic liver disease usually seen in adults and presents as a progressive pure motor spastic paraparesis which is usually associated with overt liver failure and a surgical or spontaneous systemic portocaval shunt. We describe the development of progressive spastic paraparesis, in a patient with alcoholic cirrhosis with portal hypertension and portal colopathy who presented with the first episode of hepatic encephalopathy. The patient had not undergone any shunt procedure.