FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385196810> ?p ?o ?g. }

• W4385196810 endingPage "S142" @default.
• W4385196810 startingPage "S141" @default.
• W4385196810 abstract "Background and Aim: Portosystemic myelopathy (PSM) is a rare complication in patients with portosystemic shunts, manifesting as pure motor spastic paraparesis. Case Report: We present a case of PSM in a patient with non-cirrhotic portal hypertension (NCPH). A 55-year-old female presented with difficulty in walking followed by progressive stiffness in both lower limbs for 6 months. There was no involvement of upper limbs. Physical examination revealed moderate splenomegaly. She had spasticity in both lower limbs (grade 3) with brisk knee and ankle jerks and bilateral extensor plantar response (Babinski sign). There were no cerebellar signs and sensory examination was normal. Higher mental functions and cranial nerve examination were normal. Laboratory investigations showed pancytopenia, normal INR, hypoalbuminemia, elevated plasma ammonia, low serum creatine kinase, normal vitamin B12 and folate levels. Cerebrospinal fluid examination and nerve conduction study were normal. Autoimmune encephalitis, immunoline, and paraneoplastic panel were negative. MRI whole spine screening was normal. MRI brain showed mild global cortical atrophy. Contrast enhanced CT scan abdomen showed dilated portal vein (17.5 mm) with tortuous porto-systemic collaterals noted in the paraduodenal and right suprarenal regions draining into right renal vein. Liver was normal. Spleen was grossly enlarged (21 cm). A diagnosis of spastic paraparesis due to portocaval shunting was considered. She was treated with intrathecal baclofen and physiotherapy. Mild improvement in spasticity was observed. PSM is an irreversible and refractory condition affecting the spinal cord usually presenting with progressive difficulty in walking and lower limb stiffness with sparing of upper limbs. Conclusion: The clinical diagnosis of PSM should be established after exclusion of other common entities affecting the spiral cord. Selective embolization or surgical occlusion of the shunt can halt disease progression and, in some cases can reverse the condition in early stages." @default.
• W4385196810 created "2023-07-25" @default.
• W4385196810 creator A5007268973 @default.
• W4385196810 creator A5021326515 @default.
• W4385196810 creator A5027423486 @default.
• W4385196810 creator A5031412001 @default.
• W4385196810 creator A5038694994 @default.
• W4385196810 creator A5077220933 @default.
• W4385196810 creator A5078503085 @default.
• W4385196810 creator A5082239734 @default.
• W4385196810 creator A5092530110 @default.
• W4385196810 date "2023-01-01" @default.
• W4385196810 modified "2023-09-27" @default.
• W4385196810 title "Portosystemic Shunt Presenting as Spastic Paraparesis in a Patient with Non-Cirrhotic Portal Hypertension" @default.
• W4385196810 doi "https://doi.org/10.1016/j.jceh.2023.07.206" @default.
• W4385196810 hasPublicationYear "2023" @default.
• W4385196810 type Work @default.
• W4385196810 citedByCount "0" @default.
• W4385196810 crossrefType "journal-article" @default.
• W4385196810 hasAuthorship W4385196810A5007268973 @default.
• W4385196810 hasAuthorship W4385196810A5021326515 @default.
• W4385196810 hasAuthorship W4385196810A5027423486 @default.
• W4385196810 hasAuthorship W4385196810A5031412001 @default.
• W4385196810 hasAuthorship W4385196810A5038694994 @default.
• W4385196810 hasAuthorship W4385196810A5077220933 @default.
• W4385196810 hasAuthorship W4385196810A5078503085 @default.
• W4385196810 hasAuthorship W4385196810A5082239734 @default.
• W4385196810 hasAuthorship W4385196810A5092530110 @default.
• W4385196810 hasBestOaLocation W43851968101 @default.
• W4385196810 hasConcept C126838900 @default.
• W4385196810 hasConcept C141071460 @default.
• W4385196810 hasConcept C2779012798 @default.
• W4385196810 hasConcept C2780168130 @default.
• W4385196810 hasConcept C42219234 @default.
• W4385196810 hasConcept C527108885 @default.
• W4385196810 hasConcept C71924100 @default.
• W4385196810 hasConceptScore W4385196810C126838900 @default.
• W4385196810 hasConceptScore W4385196810C141071460 @default.
• W4385196810 hasConceptScore W4385196810C2779012798 @default.
• W4385196810 hasConceptScore W4385196810C2780168130 @default.
• W4385196810 hasConceptScore W4385196810C42219234 @default.
• W4385196810 hasConceptScore W4385196810C527108885 @default.
• W4385196810 hasConceptScore W4385196810C71924100 @default.
• W4385196810 hasLocation W43851968101 @default.
• W4385196810 hasOpenAccess W4385196810 @default.
• W4385196810 hasPrimaryLocation W43851968101 @default.
• W4385196810 hasRelatedWork W156738420 @default.
• W4385196810 hasRelatedWork W1973976506 @default.
• W4385196810 hasRelatedWork W2034920747 @default.
• W4385196810 hasRelatedWork W2080171569 @default.
• W4385196810 hasRelatedWork W2255780816 @default.
• W4385196810 hasRelatedWork W2913661147 @default.
• W4385196810 hasRelatedWork W2980527132 @default.
• W4385196810 hasRelatedWork W2980959724 @default.
• W4385196810 hasRelatedWork W4382177871 @default.
• W4385196810 hasRelatedWork W3141111276 @default.
• W4385196810 hasVolume "13" @default.
• W4385196810 isParatext "false" @default.
• W4385196810 isRetracted "false" @default.
• W4385196810 workType "article" @default.