Acute Marchiafava-Bignami disease: Clinical and serial MRI correlation

Chandan Kakkar, Koteshwara Prakashini, Ashwin Polnaya

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Marchiafava-Bignami disease (MBD) is a form of toxic demyelinating disease more often seen in chronic alcoholics. The disease process typically involves the corpus callosum and clinically often presents with altered sensorium, neurocognitive defects or seizures with acute cases often deteriorating to comatose state. The death rate is high. We report a rare case of MBD with complete clinical recovery. A 50-year-old male patient presented in an unconscious state and underwent MRI of the brain which showed significant lesions involving the corpus callosum. Following treatment with thiamine and supportive therapy, he improved clinically and a follow-up MRI revealed significant resolution of the earlier lesions. Diffusion-weighted MRI showed the changes more conspicuously as compared with conventional imaging. The clinical resolution corresponded well with the MRI pattern. The case highlights that diffusion-weighted MRI is an extremely useful tool in evaluation and prognostication of MBD.

Original languageEnglish
JournalBMJ Case Reports
DOIs
Publication statusPublished - 21-05-2014

    Fingerprint

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this