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Artigo em Inglês | IMSEAR | ID: sea-124846

RESUMO

A 30 year old male patient presented with the clinical picture of progressive encephalomyelopathy eleven years after a portacaval shunt for non-cirrhotic portal fibrosis (NCPF). The spinal cord involvement in this patient was restricted to the corticospinal and the spinocerebellar pathways. The clinical picture and neuropathology of encephalopathy and of myelopathy have been described in patients with cirrhosis. Cases of encephalopathy and myelopathy have also been reported following shunt surgery in NCPF. We report the first case of encephalomyelopathy developing eleven years after portacaval shunt in a patient with noncirrhotic portal fibrosis.


Assuntos
Adulto , Doenças do Sistema Nervoso Central/etiologia , Humanos , Cirrose Hepática/cirurgia , Masculino , Derivação Portocava Cirúrgica , Complicações Pós-Operatórias/etiologia , Fatores de Tempo
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