Earnest Benjamin Samraj Prakash, Men Leong Chong, Sukvinder Kaur G, Alias Rosnita Bt, Sunita Devi H
School of Medicine, AIMST University, 31/2, Bukit Air Nasi, Jalan Bedong Semeling, 08100 Bedong, Kedah Darul Aman, West Malaysia.
J Assoc Physicians India. 2010 Feb;58:118-20.
The neurological manifestations of chronic hepatitis C is most often a peripheral sensory neuropathy characterised by numbness, burning and sensation of "pins and needles". Peripheral motor neuropathy, mononeuropathy, mononeuropathy multiplex and transverse myelitis also occur. Ischemic stroke and transient cerebral ischemia have also been reported. Anterior ischemic optic neuropathy is seen, often following interferon therapy. We report an exceptional case of neuromyelitis optica in chronic hepatitis C infection in the absence of interferon therapy.
慢性丙型肝炎的神经学表现最常见的是一种以麻木、灼痛和“针刺感”为特征的周围感觉神经病变。周围运动神经病变、单神经病变、多发性单神经病变和横贯性脊髓炎也会发生。也有缺血性卒中和短暂性脑缺血的报道。缺血性视神经病较为常见，通常发生在干扰素治疗之后。我们报告了一例未接受干扰素治疗的慢性丙型肝炎感染合并视神经脊髓炎的罕见病例。
