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Hepatic Myelopathy with Painful Tonic Spasm: A Case Report

DOI: 10.4236/oalib.1102078    818 Downloads   1,108 Views  

ABSTRACT

Hepatic myelopathy (HM) is a rare neurological complication of chronic liver disease, causing progressive spastic paraplegia or quadriplegia in the extremities with minimal sensory or sphincter impairment. In this article, the authors present one additional case with HM, with an exceptional clinical picture of painful tonic spasms within both thighs as the main complaint. A reduction in pain coinciding with a reduction in spasticity from treatments such as baclofen suggests a causal relationship between the two. We stress the importance of early recognizing this symptom before the spinal cord damage becomes irreversible.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Liao, H. , Yan, Z. , Li, G. and Hong, H. (2015) Hepatic Myelopathy with Painful Tonic Spasm: A Case Report. Open Access Library Journal, 2, 1-6. doi: 10.4236/oalib.1102078.

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