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Cortical involvement in Marchiafava-Bignami disease
Ken Johkura1, Makoto Naito, Takayuki Naka
1Department of Neurology, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Abstract:
Marchiafava-Bignami disease (MBD), a rare complication of chronic alcoholism, is characterized by primary demyelination of the corpus callosum. We report two cases of MBD in which fluid-attenuated inversion recovery (FLAIR) and diffusion-weighted imaging studies revealed symmetrical hyperintense lesions in the cerebral cortex (particularly in the lateral-frontal regions) in addition to the callosal lesions, which suggests an association of diffuse cortical lesions such as Morel's laminar sclerosis with MBD.
Insights
Marchiafava-Bignami disease (MBD), a rare condition linked to alcoholism, typically affects the corpus callosum. New findings suggest MBD may also involve widespread cerebral cortical lesions, expanding our understanding of this neurological disorder.
Area of Science:
- Neurology
- Radiology
- Neuroscience
Background:
- Marchiafava-Bignami disease (MBD) is a rare neurological disorder primarily affecting the corpus callosum.
- It is most commonly associated with chronic alcoholism and characterized by demyelination.
Observation:
- Two cases of MBD were analyzed using advanced neuroimaging techniques.
- Fluid-attenuated inversion recovery (FLAIR) and diffusion-weighted imaging (DWI) were employed to visualize brain lesions.
Findings:
- In addition to typical callosal lesions, symmetrical hyperintense lesions were observed in the cerebral cortex, particularly in lateral-frontal regions.
- These cortical lesions suggest a potential association with conditions like Morel's laminar sclerosis.
Implications:
- The findings expand the known spectrum of MBD, indicating potential diffuse cortical involvement.
- This may necessitate revised diagnostic criteria and treatment strategies for Marchiafava-Bignami disease.
- Further research is warranted to elucidate the precise relationship between MBD and cortical lesions.
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