肝性大脑神经系统损害或肝性脊髓病或肝性神经病均有报道 ,但因肝病因素同时引起大脑、脊髓病损临床罕见 ,本文报道一例。患者男 ,37岁 ,因“乏力、右上腹痛 1年余 ,双手震颤 6天 ,吐词不清 1天”于 1997年 7月 16日入院 ,既往有乙型肝炎病史 10年 ,无饮酒史。体检神情倦怠 ,吐 Hepatic brain nervous system damage or hepatic myelopathy or hepatic neuropathy have been reported, but at the same time due to liver disease caused by brain, spinal cord lesions are clinically rare, this article reports a case. Male patient, aged 37, was admitted to hospital on July 16, 1997 due to “fatigue, right upper quadrant pain more than one year, tremor of his hands for 6 days and unclear voicing.” He previously had a history of hepatitis B of 10 years and no drinking history. Physical examination fatigue, spit