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Showing posts from June, 2021

32 year old man with Marchiafava- Bignami Disease

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 Marchiafava- Bignami Disease: A 32 year old man with a history of consuming large amounts of alcohol since the past 3 years presented with an acute onset dementia, cognitive impairment. His last alcohol intake was 3 months back, His MRI brain revealed diffusely thinned out corpus callosum.  A 32 year old man who used to work at the Finance department at Kothagudem presented to our OPD today at 4pm with the complaints of: Forgetfulness since 3 months Irrelevant talk since 3 months Lack of self care since 3 months  He studied MBA and works as an accountant. He was an occasional alcoholic for 7 years but since the past 3 years, according to his wife, he has  been consuming more amount of alcohol. Initially he used to consume 180ml of whiskey per day 2 years back which increased to 360 ml of whiskey per day over the past 1 year.  Over the past 3 years, his wife also tells us that he had recurrent episodes of pain abdomen and was admitted with acute pancreatitis 5 times over the past 3 yea