Hepatic Myelopathy Involving the Posterior Column

J Korean Neurol Assoc > Volume 26(2); 2008 > Article

Journal of the Korean Neurological Association 2008;26(2): 139-141.

척수 뒤기둥을 침범한 간성 척수병증

주병억, 김호정 김병조 박건우 이대희

고려대학교 의과대학 신경과학교실

Hepatic Myelopathy Involving the Posterior Column

Byung-Euk Joo

Departments of Neurology, Korea University College of Medicine, Seoul, Korea

Abstract

Hepatic myelopathy is a rare neurological complication of chronic liver disease, and is characterized by a progressing spastic paraparesis without any sensory loss. However, a few recent reports suggest that involvement of the sensory system is also possible in hepatic myelopathy. We present a patient with hepatic myelopathy, who had impaired proprioception and a delayed cortical response of somatosensory evoked potentials. This supports the hypothesis that hepatic myelopathy may involve the sensory system as well as the motor system.KeyWords:Hepatic myelopathy, Posterior column