Hepatic myelopathy with spastic paraparesis.

  title={Hepatic myelopathy with spastic paraparesis.},
  author={Ufuk Utku and Talip Asil and Kemal Balci and Ilkay Uzunca and Yahya Hışman Çelik},
  journal={Clinical neurology and neurosurgery},
  volume={107 6},
Progressive myelopathy is a rare neurological complication of chronic liver disease with portal hypertension and there is no special diagnostic tool for hepatic myelopathy. Neuropathological studies of the patients with hepatic myelopathy have demonstrated demyelination of the lateral corticospinal tracts with various degree of axonal loss. Transcranial magnetic stimulation (TMS) is widely utilized as an indicator of changes in excitability and conductivity of the motor pathways. TMS studies… CONTINUE READING


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