Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.51338/rppsm.2020.v6.i1.120 |
Resumo: | Marchiafava‑Bignami disease is a rare condition associated with chronic alcohol consumption and/or malnutrition, characterized by demyelination of the corpus callosum, generally attributed to a deficiency in B complex vitamins. We report the case of a 34‑year‑old male with a 10‑year history of alcohol dependence who was admitted to the hospital, after having been found lying on the floor of his house, malnourished and with pressure ulcers on his chest and knees. On clinical observation he was found to be alert but mute. He followed some simple orders. Generalized spastic hypertonia was present. Magnetic resonance imaging showed demyelination of the corpus callosum, suggesting the diagnosis of Marchiafava‑Bignami disease. He was admitted to the Psychiatry Inpatient Unit and evaluated by a multidisciplinary team. He received thiamine, corticosteroids and rehabilitation. After a week, his speech was slurred but comprehensible and he could walk with aid; magnetic resonance imaging findings had improved. After three months in a Convalescence Unit, he was discharged with total autonomy. |
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Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary TeamDoença de Marchiafava‑Bignami: A Importância do Diagnóstico e Tratamento Precoces por uma Equipa MultidisciplinarAlcohol‑Related DisordersCorpus Callosum/diagnostic imagingMarchiafava‑Bignami Disease/diagnosisMarchiafava‑Bignami Disease/drug therapyCorpo Caloso/diagnóstico por imagemDoença de Marchiafava‑Bignami/ diagnósticoDoença de Marchiafava‑Bignami/ tratamento farmacológicoTranstornos Relacionados ao Uso de ÁlcoolMarchiafava‑Bignami disease is a rare condition associated with chronic alcohol consumption and/or malnutrition, characterized by demyelination of the corpus callosum, generally attributed to a deficiency in B complex vitamins. We report the case of a 34‑year‑old male with a 10‑year history of alcohol dependence who was admitted to the hospital, after having been found lying on the floor of his house, malnourished and with pressure ulcers on his chest and knees. On clinical observation he was found to be alert but mute. He followed some simple orders. Generalized spastic hypertonia was present. Magnetic resonance imaging showed demyelination of the corpus callosum, suggesting the diagnosis of Marchiafava‑Bignami disease. He was admitted to the Psychiatry Inpatient Unit and evaluated by a multidisciplinary team. He received thiamine, corticosteroids and rehabilitation. After a week, his speech was slurred but comprehensible and he could walk with aid; magnetic resonance imaging findings had improved. After three months in a Convalescence Unit, he was discharged with total autonomy.A doença de Marchiafava‑Bignami é uma condição rara associada ao consumo crónico e abusivo de álcool e/ou desnutrição, caracterizada por desmielinização do corpo caloso, sendo geralmente atribuída a uma deficiência de vitaminas do complexo B. Apresentamos o caso de um homem de 34 anos com 10 anos de dependência de álcool que foi trazido ao hospital, após ter sido encontrado caído no chão de sua casa em decúbito ventral, desnutrido, com úlceras de pressão no tórax e joelhos. Estava vígil, não emitia discurso, cumpria ordens simples e apresentava hipertonia espástica generalizada. Na ressonância magnética identificou‑se desmielinização do corpo caloso, sendo diagnosticado com doença de Marchiafava‑Bignami. Foi internado no serviço de psiquiatria e avaliado por uma equipa multidisciplinar, iniciando terapêutica com tiamina e corticosteróides e um programa de reabilitação. Após uma semana, apresentava melhoria clínica e imagiológica. Após um período de 3 meses numa Unidade de Convalescença, teve alta totalmente autónomo.Sociedade Portuguesa de Psiquiatria e Saúde Mental2020-05-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.51338/rppsm.2020.v6.i1.120oai:ojs.www.revistapsiquiatria.pt:article/120Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 6 No. 1 (2020); 31-35Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 6 N.º 1 (2020); 31-352184-54172184-5522reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.revistapsiquiatria.pt/index.php/sppsm/article/view/120https://doi.org/10.51338/rppsm.2020.v6.i1.120https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/120/57Direitos de Autor (c) 2020 Revista Portuguesa de Psiquiatria e Saúde Mentalinfo:eu-repo/semantics/openAccessMelo, Ana LuziaBarata, Sara PiresRodrigues, DavidSerra, Madalena2022-09-06T09:37:39Zoai:ojs.www.revistapsiquiatria.pt:article/120Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:37:11.471956Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team Doença de Marchiafava‑Bignami: A Importância do Diagnóstico e Tratamento Precoces por uma Equipa Multidisciplinar |
title |
Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team |
spellingShingle |
Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team Melo, Ana Luzia Alcohol‑Related Disorders Corpus Callosum/diagnostic imaging Marchiafava‑Bignami Disease/diagnosis Marchiafava‑Bignami Disease/drug therapy Corpo Caloso/diagnóstico por imagem Doença de Marchiafava‑Bignami/ diagnóstico Doença de Marchiafava‑Bignami/ tratamento farmacológico Transtornos Relacionados ao Uso de Álcool |
title_short |
Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team |
title_full |
Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team |
title_fullStr |
Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team |
title_full_unstemmed |
Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team |
title_sort |
Marchiafava‑Bignami Disease: The Importance of Early Diagnosis and Treatment by a Multidisciplinary Team |
author |
Melo, Ana Luzia |
author_facet |
Melo, Ana Luzia Barata, Sara Pires Rodrigues, David Serra, Madalena |
author_role |
author |
author2 |
Barata, Sara Pires Rodrigues, David Serra, Madalena |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Melo, Ana Luzia Barata, Sara Pires Rodrigues, David Serra, Madalena |
dc.subject.por.fl_str_mv |
Alcohol‑Related Disorders Corpus Callosum/diagnostic imaging Marchiafava‑Bignami Disease/diagnosis Marchiafava‑Bignami Disease/drug therapy Corpo Caloso/diagnóstico por imagem Doença de Marchiafava‑Bignami/ diagnóstico Doença de Marchiafava‑Bignami/ tratamento farmacológico Transtornos Relacionados ao Uso de Álcool |
topic |
Alcohol‑Related Disorders Corpus Callosum/diagnostic imaging Marchiafava‑Bignami Disease/diagnosis Marchiafava‑Bignami Disease/drug therapy Corpo Caloso/diagnóstico por imagem Doença de Marchiafava‑Bignami/ diagnóstico Doença de Marchiafava‑Bignami/ tratamento farmacológico Transtornos Relacionados ao Uso de Álcool |
description |
Marchiafava‑Bignami disease is a rare condition associated with chronic alcohol consumption and/or malnutrition, characterized by demyelination of the corpus callosum, generally attributed to a deficiency in B complex vitamins. We report the case of a 34‑year‑old male with a 10‑year history of alcohol dependence who was admitted to the hospital, after having been found lying on the floor of his house, malnourished and with pressure ulcers on his chest and knees. On clinical observation he was found to be alert but mute. He followed some simple orders. Generalized spastic hypertonia was present. Magnetic resonance imaging showed demyelination of the corpus callosum, suggesting the diagnosis of Marchiafava‑Bignami disease. He was admitted to the Psychiatry Inpatient Unit and evaluated by a multidisciplinary team. He received thiamine, corticosteroids and rehabilitation. After a week, his speech was slurred but comprehensible and he could walk with aid; magnetic resonance imaging findings had improved. After three months in a Convalescence Unit, he was discharged with total autonomy. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-05-30T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.51338/rppsm.2020.v6.i1.120 oai:ojs.www.revistapsiquiatria.pt:article/120 |
url |
https://doi.org/10.51338/rppsm.2020.v6.i1.120 |
identifier_str_mv |
oai:ojs.www.revistapsiquiatria.pt:article/120 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/120 https://doi.org/10.51338/rppsm.2020.v6.i1.120 https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/120/57 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2020 Revista Portuguesa de Psiquiatria e Saúde Mental info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2020 Revista Portuguesa de Psiquiatria e Saúde Mental |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Psiquiatria e Saúde Mental |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Psiquiatria e Saúde Mental |
dc.source.none.fl_str_mv |
Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 6 No. 1 (2020); 31-35 Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 6 N.º 1 (2020); 31-35 2184-5417 2184-5522 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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