SHUNT ENCEPHALOMYELOPATHY. II. OCCURRENCE OF PERMANENT MYELOPATHY
Authors: L ZIEVE, D F MENDELSON, M GOEPFERT
Journal: Annals of Internal Medicine (1960)

Article1 July 1960SHUNT ENCEPHALOMYELOPATHY. II. OCCURRENCE OF PERMANENT MYELOPATHYLESLIE ZIEVE, M.D., F.A.C.P., DAVID F. MENDELSON, M.D., MARY GOEPFERT, M.D.LESLIE ZIEVE, M.D., F.A.C.P., DAVID F. MENDELSON, M.D., MARY GOEPFERT, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-53-1-53 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe reversible acute or chronic recurrent neurologic signs associated with hepatic coma, Eck's fistula, or an extensive portal collateral circulation are well known. So is the coexistence of permanent hepatic and nervous system abnormalities in hepatolenticular degeneration. However, the occurrence of nontransient neurologic findings in isolated patients with liver disease, exclusive of Wilson's disease, has not been so widely appreciated. Little emphasis has been placed upon the development of focal neurologic manifestations, particularly of the spinal cord, though a few instances have been recorded in the literature. Moreover, clinical neuropathologic correlations have been exceedingly scant. Our observation recently of two...Bibliography1. LeighCard ADWI: Hepato-lenticular degeneration. A case associated with postero-lateral column degeneration, J. Neuropath. and Exper. Neurol. 8: 338, 1949. CrossrefGoogle Scholar2. BaltzanOlszewskiZervas MAJN: Chronic porto-hepatic encephalopathy, J. Neuropath. and Exper. Neurol. 16: 410, 1957. CrossrefGoogle Scholar3. Inose T: Hepatocerebral degeneration, a special type, J. Neuropath. and Exper. Neurol. 11: 401, 1952. CrossrefGoogle Scholar4. Von Braunmuhl A: Die Rinden-Markkomponente im anatomischen Bild der Wilson-Pseudosklerosegruppe, Ztschr. f. d. ges. Neurol. u. Psychiat. 130: 1, 1930. CrossrefGoogle Scholar5. 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MagnumLemonFriedlander JDWJ: Neurologic changes in a patient with a portacaval shunt and the relationship to hepatic coma, Am. J. Med. 21: 306, 1956. CrossrefMedlineGoogle Scholar12. SummerskillDavidsonSherlockSteiner WHEASRE: The neuropsychiatric syndrome associated with hepatic cirrhosis and an extensive portal collateral circulation, Quart. J. Med. 25: 245, 1956. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication October 14, 1959.From the Departments of Medicine and Neurology and the Radioisotope Service, Veterans Administration Hospital, University of Minnesota, Minneapolis, Minnesota.†Present address: St. Louis University School of Medicine.Requests for reprints should be addressed to Leslie Zieve, M.D., Veterans Administration Hospital, Minneapolis 17, Minnesota. 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P. STABLES, M.B., B. LEVIN, M.B., B.CH., G. A. ELLIOTT, M.D., F.R.C.P., D. J. DUPLESSIS, CH.M., F.R.C.S.Management of portal hypertension and its consequencesTREATMENT OF CHRONIC PORTAL-SYSTEMIC ENCEPHALOPATHY BY SURGICAL EXCLUSION OF THE COLONProphylactic Portacaval Anastomosis in Cirrhotic Patients with Esophageal VaricesThe liver and Its DiseasesHEPATIC COMAPAUL W. CLOUGH, M.D. 1 July 1960Volume 53, Issue 1Page: 53-63KeywordsComaHospital medicineLesionsLiver diseasesMyelopathyNervous systemNeurologyParaplegiaProteinsSpinal cord Issue Published: 1 July 1960 PDF downloadLoading ...