• Lin Sun, Jun Li, Li-Li Lan, and Xiao-An Li.
• Department of Gastroenterology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
• Medicine (Baltimore). 2019 Jul 1; 98 (28): e16430.

RationaleHepatic myelopathy (HM), also known as portal-systemic myelopathy, is a rare neurological complication that occurs in patients with chronic liver disease. There is no easy and feasible treatment, liver transplantation is the only accepted therapy that may be effective for patients at early stage at present. The pathogenesis of the disease is not clear yet, and the prognosis is poor. Here we describe a reversible HM after fecal microbiota transplantation.Patient ConcernsIn this report, a middle-aged female patient with hepatitis B cirrhosis, occurred HM after transjugular intrahepatic portosystemic shunt, a progressive spastic paraparesis in both legs were the main symptoms.DiagnosisThe patient was diagnosed with HM.InterventionsThe patient received 3 times of fecal microbiota transplantations (FMT).OutcomesThe patient's muscle strength of both legs were increased at various degrees, the patient's condition improved from HM2 to HM1.LessonsFMT may be another effective way to treat HM. It is cheaper, more operable, and simpler than the approved treatment and worthy of further research.

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