Paraparesis, hypermanganesaemia, and polycythaemia: a novel presentation of cirrhosis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 11040156.
- Also identified by PMC identifier 1718535.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Progressive myelopathy is a rare complication of chronic hepatic disease which has never been reported in the paediatric age group. We describe the 11 year course of an adolescent male with hepatic myelopathy caused by cryptogenic micronodular cirrhosis. His condition has been associated with persistent polycythaemia and extraordinary increases of whole blood manganese, with magnetic resonance imaging evidence of manganese deposition within the basal ganglia and other regions of the brain. The patient has developed neither liver failure nor parkinsonism. The pathophysiological bases of this multiorgan system disorder are described.
Medical subject headings
- Liver Cirrhosis
- Manganese
- Paraparesis, Spastic
- Polycythemia