Neurological complications of alcoholism

Alcohol

1. Neurological complications of alcoholism By Mahmoud shehata

2. Neurological complications of acute alcohol intoxication and alcoholism

3. Alcohol and nervous system Acute intoxication Abstinence and withdrawal syndrome Al c ohol a nd dementia , Wernicke´s encefalopathy

4. Alcohol and nervous system Acute intoxication Changes in behavior , agressivity , incoordination of movement and gait , slurred speach Drowsiness , stupor , c oma , problems with breathing

5. Alcohol and nervous system Abstinence and withdrawal syndrome Tremulousness Hallucinations Epileptic seizures Confusion Psychomotor and autonomic overactivity , which develops several hours or days after an addictive drinker abstains from alcohol

6. Alcohol and nervous system Delirium tremens In 10% starts with seizures Profound confusion , gross tremor , hallucinations , autonomic overactivity – fever , tachycardia , dilated pupils 48-96 hours after cessation of drinking

7. Alcohol and nervous system Al c ohol a nd dementia Chronic abuse of alcohol – c ognitiv e deficit ( loss of neurons , brain atrophy ) Wernicke´s encefalopathy ( hemorhagic ) Korsakov´s syndrom

8. Alcohol and nervous system Wernicke´s encefalopathy Confusion , eye movement problems , ataxia – dysarthria , ataxia of body and extremities , residual signs Loss of neurons , axons , myelin , small hemorrhagies – corpora mamillaria , around aqueductus , III. and IV. ventricles Th .: Thiamin 100 mg/ day i.m . or i.v . , B-vitamin complex

9. Alcohol and nervous system Korsakov´s syndrom - a mnestic syndrom with amnesia , confabulations Marchiafava-Bignami syndrom - d emyelinisation of corpus callosum (MRI - hyperintense lesions Confusion , seizures , dementia http://www.scielo.br/scielo.php

10. Alcohol and nervous system Alcoholic degeneration of cerebellum - cerebellar atrophy Alcoholic polyneuropathy Alcoholic myopathy : Acute necrotisans myopathy Chronic myopathy