Liver Transplantation Reverses Hepatic Myelopathy in Hepatitis B-Related Decompensated Liver Cirrhosis: Case Report and Review of the Literature

作者：Zebin Zhu, Yang Liu, Wei Wu, Dehao Huang, Yafei Guo, Hao Zheng, Ning Wang, Zhijun Xu, Xuefeng Li, Jiwei Qin, Lianxin Liu, Björn Nashan · 发表于：Transplantation Proceedings · 年份：2021 · DOI：10.1016/j.transproceed.2021.11.016 · 被引用次数：9 · 研究领域：Liver Disease and Transplantation、Drug-Induced Hepatotoxicity and Protection、Neurological Complications and Syndromes

Severe neurologic complications after chronic liver disease greatly affect the patient's quality of life. Hepatic myelopathy (HM) is a rare but devastating disease, in chronic liver disease. The limbs of patients with HM show slowly progressive symmetrical spastic paralysis without sensory loss. Management of this severe neurologic complication is challenging. These patients often require timely and effective clinical intervention. Although liver transplantation is one of the effective treatments for HM, the prognosis of these patients remains poor, many of them spend their lives in wheelchairs. Here, we report a patient with HM after hepatitis B virus related decompensated liver cirrhosis who recovered well after liver transplant. This work was carried out in compliance with the Helsinki Congress and the Declaration of Istanbul.