Relapsing Polyradiculitis after Portocaval Anastomosis
作者:
C. Vital,
J. Staeffen,
C. Series,
R. Terme,
C. Brechenmacher,
B. Pachebat,
期刊:
European Neurology
(Karger Available online 1978)
卷期:
Volume 17,
issue 2
页码: 108-116
ISSN:0014-3022
年代: 1978
DOI:10.1159/000114932
出版商: S. Karger AG
关键词: Relapsing polyradiculitis;Portocaval shunt;Segmental demyelination;Guillain-Barré syndrome;Hepatic cirrhosis
数据来源: Karger
摘要:
A case of relapsing polyneuritis in a cirrhotic woman with a surgical splenorenal shunt is reported. The ultrastructural study of the nerve biopsy shows widespread segmental demyelinization with total myelin breakdown in most fibers; some Schwann cells are invaded by mononuclear cell processes. Such histological changes are characteristic of the Guillain-Barré syndrome. Alcohol and diabetes are unlikely to be the causative factors of the nerve damage. The possible role of unidentified toxic metabolites such as those which cause portosystemic encephalopathy, also present in our patient, is discussed
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