Hepatic Myelopathy in a Patient with Decompensated Alcoholic Cirrhosis and Portal Colopathy

Hepatic Myelopathy in a Patient with Decompensated Alcoholic Cirrhosis and Portal Colopathy

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Cirrhotic or hepatic myelopathy is a rare neurological complication of chronic liver disease usually seen in adults and presents HAND SOAP as a progressive pure motor spastic paraparesis which is usually associated with overt liver failure and a surgical or spontaneous systemic portocaval shunt.We describe the development of progressive spastic paraparesis, in a patient with alcoholic cirrhosis with portal hypertension and portal colopathy who presented with the first Graduation Tassel Charm Gift Box episode of hepatic encephalopathy.The patient had not undergone any shunt procedure.