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Free Content Hepatic Myelopathy: Case Report of an Unusual MRI Finding

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Hepatic myelopathy is a very rare complication of chronic liver disease. Patients classically present with progressive spastic paraparesis and pathologic findings of selective and symmetric loss of myelin in bilateral corticospinal tracts. Yet, imaging studies, including spine MR imaging, are usually unremarkable. We present a unique case of hepatic myelopathy that provides imaging correlation to previously described pathologic findings. A brief review of the hepatic myelopathy literature is also included.
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Keywords: CST = corticospinal tract; HE = hepatic encephalopathy; HM = hepatic myelopathy

Document Type: Research Article

Publication date: 01 June 2018

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  • Neurographics is the peer-reviewed, bimonthly educational journal of the American Society of Neuroradiology. The journal comprises articles selected from material presented at the ASNR Annual Meeting. Neurographics also publishes other high-quality submissions that are primarily educational and have a high emphasis on a pictorial approach. Neurographics offers CME credit for reading review articles and completing quiz-based self-assessment activities. CME credit for review articles may be claimed up to 3 years after an article's publication date. Visit to view all available CME courses.
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