Skip to main content
Log in

Treatment of Portosystemic Shunt Myelopathy with a Stent Graft Deployed through a Transjugular Intrahepatic Route

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

A case of surgically created splenorenal shunt complicated with shunt myelopathy was successfully managed by placement of a stent graft within the splenic vein to close the portosystemic shunt and alleviate myelopathy. To our knowledge, this is the first report of a case of shunt myelopathy in a patient with noncirrhotic portal fibrosis without cirrhosis treated by a novel technique wherein a transjugular intrahepatic route was adopted to deploy the stent graft.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Conn HO, Rossle M, Levy L et al (2006) Portosystemic myelopathy: spastic paraparesis after portosystemic shunting. Scand J Gastroenterol 41:619–625

    Article  PubMed  Google Scholar 

  2. Wang MQ, Dake MD, Cui ZP et al (2001) Portal systemic myelopathy after transjugular portosystemic shunt creation: report of four cases. J Vasc Interv Radiol 12:879–881

    Article  PubMed  CAS  Google Scholar 

  3. Koo JE, Lim YS, Myung SJ et al (2008) Hepatic myelopathy as a presenting neurological complication in patients with cirrhosis and spontaneous splenorenal shunt. Korean J Hepatol 14:89–96

    Article  PubMed  Google Scholar 

  4. O’Brien J, Staples C, Florin T (2010) Trouble with a shunt: alcohol and spastic paraparesis. Hepatic myelopathy. Gastroenterology 139(1099):1428

    Google Scholar 

  5. Panicker J, Sinha S, Taly AB et al (2006) Hepatic myelopathy: a rare complication following extrahepatic portal vein occlusion and lienorenal shunt. Neurol India 54:298–300

    Article  PubMed  CAS  Google Scholar 

  6. Pinarbasi B, Kaymakoglu S, Matur Z et al (2009) Are acquired hepatocerebral degeneration and hepatic myelopathy reversible? J Clin Gastroenterol 43:176–181

    Article  PubMed  Google Scholar 

  7. Litvin S, Atar E, Knizhnik M et al (2010) Stent graft closure of a high flow splenorenal shunt after liver transplantation. Diagn Interv Radiol 16:312–314

    PubMed  Google Scholar 

  8. Cwikiel W (2006) Interventional procedures involving portal vein circulation: a review. Acta Radiol 47:145–156

    Article  PubMed  CAS  Google Scholar 

  9. Qu B, Liu C, Guo L et al (2009) The role of liver transplantation in the treatment of hepatic myelopathy: case report with review of the literature. Transplant Proc 41:1987–1989

    Article  PubMed  CAS  Google Scholar 

  10. Caldwell C, Werdiger N, Jakab S et al (2010) Use of model for end-stage liver disease exception points for early liver transplantation and successful reversal of hepatic myelopathy with a review of the literature. Liver Transpl 16:818–826

    Article  PubMed  Google Scholar 

  11. Weissenborn K, Tietge UJF, Bokemeyer M et al (2003) Liver transplantation improves hepatic myelopathy: evidence by three cases. Gastroenterology 124:346–351

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ankur Arora.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jain, D., Arora, A., Deka, P. et al. Treatment of Portosystemic Shunt Myelopathy with a Stent Graft Deployed through a Transjugular Intrahepatic Route. Cardiovasc Intervent Radiol 36, 1161–1164 (2013). https://doi.org/10.1007/s00270-012-0475-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-012-0475-0

Keywords

Navigation