Zapol'skiĭ E M, Buslovich L Iu, Iamnitskiĭ M Ia
Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(7):1070-3.
The authors conducted a clinico-morphogicaly analysis of 12 cases (10 males and 2 females) of alcoholic delirium with a lethal outcome. All 12 patients were alcohol abusers (from 5--22 years). Pathoanatomical changes of the brain and internal organs were characterized by traits of chronic alcoholic encephalopathy accompanied by elements of toxic damage of the nervous tissue. The main factor in the genesis of this severe disorder is a diffuse acute toxic damage of the minor vessels of the cortex and white brain matter (more expressed in the frontal areas of the hemispheres). The authors discuss the pathogenetical role of hepatic lesions in alcoholic delirium.
作者对12例(10例男性和2例女性)致死性酒精性谵妄病例进行了临床形态学分析。所有12例患者均为酗酒者(饮酒史5 - 22年)。脑和内脏器官的病理解剖变化表现为慢性酒精性脑病特征,并伴有神经组织中毒性损伤成分。这种严重疾病发生的主要因素是皮质和脑白质小血管的弥漫性急性毒性损伤(在大脑半球额叶区域更明显)。作者讨论了肝脏病变在酒精性谵妄中的发病机制作用。