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很少有人会把肝病跟下肢截瘫联系起来,然而肝脏疾病晚期可能出现一种罕见的神经系统并发症——肝性脊髓病,这种疾病的主要表现为缓慢进行性痉挛性截瘫,最终导致下肢的运动障碍。病例:20年“老肝炎”出现下肢运动障碍今年60岁的何伯,几个月前开始觉得下肢无力,经常发生痉挛。慢慢地,情况越来越严重,最后连走路都成问题了。刚开始,他以为神经系统出现了问题,去了几家医院的神经内科检查,但都没有查出病症。后来,辗转来到广医荔湾医院就诊。在问诊的过程中,我得知他20年前就患有肝炎,但由于一向体质比较好,因此也没有特
Few people associate liver disease with paraplegia of the lower extremities. However, a rare neurological complication, hepatic myelopathy, may occur late in the liver disease, which is characterized by a slow progressive spastic paraplegia that eventually leads to lower extremities Dyskinesia. Case: 20 years “Hepatitis ” appear lower extremity dysfunction He Bo, 60 years old, began to feel lower limb weakness a few months ago, frequent spasms. Slowly, the situation is getting worse, and finally even walking is a problem. At first, he thought there was a problem with the nervous system and went to the neurology department in several hospitals, but none of them found any symptoms. Later, he was removed to Guangzhou Medical Liwan Hospital for treatment. During the interview, I learned that he had hepatitis 20 years ago, but because of his physique is always good, so there is no special