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Logo of archdischArchives of Disease in ChildhoodInstructions for authorsCurrent TOC
 
Arch Dis Child. Nov 2000; 83(5): 439–442.
PMCID: PMC1718535
Paraparesis, hypermanganesaemia, and polycythaemia: a novel presentation of cirrhosis
S Gospe, R Caruso, M Clegg, C Keen, N Pimstone, J Ducore, S Gettner, and R Kreutzer
Departments of Neurology, Pediatrics, Radiology, Nutrition, and Internal Medicine, University of California, Davis, California, USA. sgospe/at/u.washington.edu
Abstract
Progressive myelopathy is a rare complication of chronic hepatic disease which has never been reported in the paediatric age group. We describe the 11 year course of an adolescent male with hepatic myelopathy caused by cryptogenic micronodular cirrhosis. His condition has been associated with persistent polycythaemia and extraordinary increases of whole blood manganese, with magnetic resonance imaging evidence of manganese deposition within the basal ganglia and other regions of the brain. The patient has developed neither liver failure nor parkinsonism. The pathophysiological bases of this multiorgan system disorder are described.

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