Sugeno Naoto, Nagai Makiko, Shiga Yusei, Shiina Gonzou, Itoyama Yasuto
Division of Neurology, Department of Neuroscience, Tohoku University Graduate School of Medicine.
Rinsho Shinkeigaku. 2002 Jan;42(1):51-3.
We report a 34-year-old man who presented with alcohol-withdrawal delirium. In the early phase, diffusion-weighted MR imaging demonstrating a high intensity area in the corpus callosum, indicating Marchiafava-Bignami disease. T2-weighted MR imaging did not clearly show the lesion. He was treated and completely recovered in terms of clinical state and MRI findings. Although historically the most of Marchiafava-Bignami disease was not cured, it seems that the lesion is reversible by management in the early stage. We propose that diffusion-weighted MR imaging is useful for the early detection of Marchiafava-Bignami disease.
我们报告一名34岁出现酒精戒断谵妄的男性。在疾病早期,磁共振扩散加权成像显示胼胝体有高强度区域,提示为Marchiafava-Bignami病。T2加权磁共振成像未清晰显示该病变。他接受治疗后,临床状态和磁共振成像结果均完全恢复。尽管从历史上看,大多数Marchiafava-Bignami病无法治愈,但早期干预似乎可使病变逆转。我们认为磁共振扩散加权成像有助于早期发现Marchiafava-Bignami病。