Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2022; 10(30): 11172-11177
Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11172
Spontaneous remission of hepatic myelopathy in a patient with alcoholic cirrhosis: A case report
Chun-Yan Chang, Chen Liu, Fang-Fang Duan, Hang Zhai, Shan-Shan Song, Song Yang
Chun-Yan Chang, Chen Liu, Fang-Fang Duan, Hang Zhai, Shan-Shan Song, Song Yang, Division Third Center of Hepatology, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
Author contributions: Chang CY designed and contributed to the manuscript draft; Liu C and Duan FF analyzed and interpreted the imaging data; Zhai H and Song SS collected the patient’s clinical data; Yang S reviewed this paper and approved the final version of this manuscript.
Supported by Chinese foundation for hepatitis prevention and control, Tianqing liver disease research fund subject, No. TQGB20210050; and Beijing Municipal Administration of Hospitals Incubating Program, No. PX2022071.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Song Yang, Doctor, PhD, Director, Doctor, Professor, Teacher, Division Third Center of Hepatology, Beijing Ditan Hospital, Capital Medical University, No.8 Jingshun East Street, Chaoyang District, Beijing 100015, China. sduyangsong@163.com
Received: July 6, 2022
Peer-review started: July 6, 2022
First decision: August 4, 2022
Revised: August 24, 2022
Accepted: September 19, 2022
Article in press: September 19, 2022
Published online: October 26, 2022
Core Tip

Core Tip: Hepatic myelopathy (HM) is a rare neurological complication of advanced cirrhosis. Prompt liver transplantation or interventional therapy may reverse the symptoms of HM. Self-resolving HM in patients with alcoholic cirrhosis has never been reported. Our report presents that self-resolving HM in a patient with alcoholic cirrhosis is possible without any liver transplantation and interventional therapy after promptly controlling the etiology and systemic management of complications. This case provides new insight into the self-remission of patients with HM.