Source:http://linkedlifedata.com/resource/pubmed/id/14561428
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
2003-10-16
|
pubmed:abstractText |
We report the case of a 40-year-old alcoholic male patient, hospitalized with an acute ataxia of stance and gait, ocular muscle weakness with nystagmus and a global apathetic-confusional state. After admission, an amnestic syndrome with confabulation was also observed and diagnosis of Wernicke-Korsakoff syndrome was made. Under treatment with intravenous thiamine, the patient recovered completely from gaze weakness and ataxia, whereas a severe amnestic syndrome persisted. Fluorodeoxyglucose (FDG) positron emission tomography (PET) showed bilateral thalamic and severe bilateral temporal-parietal hypometabolism resembling a pattern typical for Alzheimer's disease. Longitudinal assessment of the alcohol-abstinent and thiamine-substituted patient revealed improvements of clinical state and neuropsychological performance that were paralleled by recovered cerebral glucose metabolism. In contrast to metabolic rates that increased between 7.1% (anterior cingulate, left) and 23.5% (parietal, left) in cortical areas during a 9-month remission period, thalamic glucose metabolism remained severely disturbed over time (change: left +0.2%, right +0.3%).
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Oct
|
pubmed:issn |
0165-1781
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
30
|
pubmed:volume |
124
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
105-12
|
pubmed:dateRevised |
2008-4-17
|
pubmed:meshHeading |
pubmed-meshheading:14561428-Adult,
pubmed-meshheading:14561428-Blood Glucose,
pubmed-meshheading:14561428-Cerebral Cortex,
pubmed-meshheading:14561428-Dominance, Cerebral,
pubmed-meshheading:14561428-Fluorodeoxyglucose F18,
pubmed-meshheading:14561428-Gyrus Cinguli,
pubmed-meshheading:14561428-Humans,
pubmed-meshheading:14561428-Image Processing, Computer-Assisted,
pubmed-meshheading:14561428-Korsakoff Syndrome,
pubmed-meshheading:14561428-Male,
pubmed-meshheading:14561428-Neurologic Examination,
pubmed-meshheading:14561428-Neuropsychological Tests,
pubmed-meshheading:14561428-Thalamus,
pubmed-meshheading:14561428-Thiamine,
pubmed-meshheading:14561428-Tomography, Emission-Computed
|
pubmed:year |
2003
|
pubmed:articleTitle |
Persistence of disturbed thalamic glucose metabolism in a case of Wernicke-Korsakoff syndrome.
|
pubmed:affiliation |
Department of Psychiatry, University Hospital of Mainz, Untere Zahlbacher Str. 8, Mainz, Germany. fellgiebel@psychiatrie.klinik.uni-mainz.de
|
pubmed:publicationType |
Journal Article,
Case Reports
|