Hepatitis C and Neurological Disorders: A PatientÃ¢ÂÂs Case ReportA Aomari*, M Firwana, I Benelbarhdadi and FZ Ajana
Department of Gastroenterology and Liver Diseases, Medicine C, IBN SINA University Hospital, Rabat, Morocco
- Corresponding Author:
- A Aomari
Department of Gastroenterology and Liver diseases
Medicine C, IBN SINA University Hospital, Rabat, Morocco
E-mail: [email protected]
Received Date: July 10, 2017; Accepted Date: July 21, 2017; Published Date: July 28, 2017
Citation: Aomari A, Firwana M, Benelbarhdadi I, Ajana FZ (2017) Hepatitis C and Neurological Disorders: A Patient’s Case Report. J Gastrointest Dig Syst 7:517. doi:10.4172/2161-069X.1000517
Copyright: © 2017 Aomari A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Neurological disorders associated with hepatitis C is most often related to mixed cryoglobulinemia. The aim of this study is to show the severity of neurological disorders during hepatitis C infection.
Observation: Mrs. S A, 60 years old, who had been in purpuric rash for six months, associated with physical and psychic asthenia and weight loss at 16 kg in 8 months. The evolution was marked by an alteration of the neurological state of the patient with an installation of motor deficit affecting the 04 limbs, abolition of the osteotendinous reflexes, and a hypoesthesia of the upper and lower limbs. The electromyogram (EMG) showed a sensorimotor polyradiculoneuropathy, and the etiological diagnosis was in favor of a peripheral neuropathy secondary to a cryoglobulinemia, related to hepatitis C. In addition, the patient presented after a few days of headaches, a sharp drop in visual acuity and high blood pressure, this is complicated by two episodes of convulsive seizures. A cranial CT scan is performed in an emergency without abnormalities, with no sign in relation to thrombophlebitis after injection of contrast agent. The diagnosis retained is a central neurological disease secondary to infection with the virus c associated with peripheral neurological disease.
Conclusion: Neurological disorders associated with hepatitis C are rare but poor prognosis threatening the functional and vital prognosis of patients.