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马基亚法瓦-比尼亚米病:病例报告与影像学表现

Marchiafava-Bignami disease: Case presentation and radiological imaging.

作者信息

Waack Andrew, Nandwani Swamroop, Ranabothu Meghana, Ranabothu Akash, Vattipally Venkatramana

机构信息

University of Toledo College of Medicine and Life Sciences, 3000 Arlington Ave, Toledo, OH 43614 United States.

Grand Valley State University College of Liberal Arts and Sciences, Mackinac Hall (MAK), 1 N Campus Dr, Allendale, MI 49401 United States.

出版信息

Radiol Case Rep. 2023 Aug 26;18(11):3922-3925. doi: 10.1016/j.radcr.2023.08.032. eCollection 2023 Nov.

DOI:10.1016/j.radcr.2023.08.032
PMID:37663564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10473971/
Abstract

Marchiafava-Bignami disease (MBD) is a rare vitamin B deficiency classically associated with alcoholism. MBD damages the corpus callosum and presents with nonspecific neurological symptoms. Radiological imaging is critical for diagnosing MBD and commencing subsequent treatment, which often consists of vitamin B supplementation. We present a case of MBD in a 56-year-old male with alcohol use disorder, epilepsy, schizophrenia, post-traumatic stress disorder, and cardiovascular risk factors. The patient presented with general neurological symptoms, and there were several potential diagnoses to consider based on the patient's history. Radiological imaging was necessary for diagnosis. This case demonstrates the role radiological imaging plays in the workup of MBD.

摘要

马基亚法瓦-比尼亚米病(MBD)是一种罕见的维生素B缺乏症,典型地与酗酒有关。MBD会损害胼胝体,并表现出非特异性神经症状。放射影像学对于MBD的诊断及后续治疗的开展至关重要,后续治疗通常包括补充维生素B。我们报告一例患有酒精使用障碍、癫痫、精神分裂症、创伤后应激障碍和心血管危险因素的56岁男性的MBD病例。该患者出现了一般神经症状,根据患者病史有几种潜在诊断需要考虑。放射影像学对于诊断是必要的。本病例展示了放射影像学在MBD检查中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1557/10473971/f2acaefbbf5f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1557/10473971/9958fc2ee711/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1557/10473971/f2acaefbbf5f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1557/10473971/9958fc2ee711/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1557/10473971/f2acaefbbf5f/gr2.jpg

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本文引用的文献

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Marchiafava Bignami Disease: A Rare Neurological Complication of Long-Term Alcohol Abuse.马基亚法瓦-比尼亚米病:长期酗酒引发的罕见神经并发症。
Cureus. 2022 Oct 30;14(10):e30863. doi: 10.7759/cureus.30863. eCollection 2022 Oct.
2
Amantadine as a Potential Treatment for Marchiafava-Bignami Disease: Case Reports and a Possible Mechanism.金刚烷胺作为治疗马奇亚法瓦-比尼亚米病的潜在疗法:病例报告及一种可能机制
Case Rep Neurol Med. 2022 Apr 11;2022:4585206. doi: 10.1155/2022/4585206. eCollection 2022.
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Marchiafava-Bignami disease concurrent with intracerebral hemorrhage: a case description.
马奇亚法瓦-比尼亚米病并发脑出血:病例描述
Quant Imaging Med Surg. 2022 Apr;12(4):2596-2601. doi: 10.21037/qims-21-901.
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A Case of Cortical Involvement in Marchiafava-Bignami Disease Accompanying Wernicke's Encephalopathy.一例伴有韦尼克脑病的马基亚法瓦-比尼亚米病皮质受累病例。
J Clin Neurol. 2021 Jul;17(3):499-500. doi: 10.3988/jcn.2021.17.3.499.
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A Case of Nonalcoholic Marchiafava-Bignami Disease with Left-Right Differential Agraphia of Chinese Characters.一例非酒精性马奇亚法瓦-比尼亚米病伴汉字左右辨别失写症
Case Rep Neurol. 2018 Aug 29;10(2):232-241. doi: 10.1159/000492528. eCollection 2018 May-Aug.
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Marchiafava-Bignami disease in chronic alcoholic patient.慢性酒精中毒患者的马基亚法瓦-比尼亚米病
Radiol Case Rep. 2016 Jul 9;11(3):234-7. doi: 10.1016/j.radcr.2016.05.015. eCollection 2016 Sep.
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Diagnosis and management of Marchiafava-Bignami disease: a review of CT/MRI confirmed cases.Marchiafava-Bignami 病的诊断与治疗:CT/MRI 确诊病例回顾。
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