Experience in Clinical Diagnosis and Treatment of 24 cases of Hepatic Myelopathy
10.19845/j.cnki.zfysjjbzz.2021.0014
- VernacularTitle:24例肝性脊髓病的临床诊治体会
- Author:
Xiaofei FEI
1
;
Mengmeng HU
1
;
Na QIN
1
Author Information
1. Department of Neurology,Xijing Hospital,The Fourth Military Medical University,Xi an 710032,China
- Publication Type:Journal Article
- Keywords:
Hepatic myelopathy;
Misdiagnosis;
Hereditary spastic paraplegia;
Dystonia
- From:
Journal of Apoplexy and Nervous Diseases
2021;38(1):62-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical features,causes of misdiagnosis and preventive measures of hepatic myelopathy (HM). Methods The clinical data of 24 cases of HM admitted to Xijing Hospital from November 2009 to June 2019 were analyzed retrospectively,and relevant literatures were reviewed. Results All the 24 patients had a history of cirrhosis,and the clinical manifestations were decreased muscle strength of both lower limbs. Laboratory and imaging examinations were abnormal in some patients. Currently,there is no unified diagnostic standard for HM. According to the patient’s history,clinical manifestations,laboratory examination and imaging examination results,combined with literatures and expert opinions,hepatic myelopathy was diagnosed. One patient was treated with liver transplantation,and all patients were given symptomatic treatment and rehabilitation exercise. Scores of Modified Rankin Scale (mRS) improved in 3 patients at discharge. Follow-up of 3 months after discharge showed scores of mRS improved in 6 patients. The prognosis may be correlated with the course of disease. Conclusion HM has a low incidence and the clinical manifestations lack specificity.Detailed medical history,careful physical examination,timely examination of liver function and abdominal ultrasound can help early diagnosis and improve the clinical symptoms and prognosis of patients.
- Full text:2024073100291533864Experience in Clinical Diagnosis and Treatment of 24 cases of Hepatic Myelopathy.pdf
