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Case report: acute hemorrhagic multifocal angioencephalopathy.

P Pick, D Horoupian

    Clinical Neuropathology
    |March 1, 1984
    PubMed
    Summary

    A unique case of fatal alcoholic encephalopathy in a 53-year-old male presented with acute brain lesions. The vasculopathy observed shares similarities with subacute diencephalic angioencephalopathy.

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    Area of Science:

    • Neurology
    • Pathology
    • Toxicology

    Background:

    • Chronic alcoholism is a significant public health concern with diverse neurological complications.
    • Encephalopathy, a general term for brain dysfunction, can arise from various causes, including toxic exposures.
    • Understanding the specific neuropathological mechanisms in alcoholic encephalopathy is crucial for diagnosis and treatment.

    Observation:

    • A 53-year-old male with a history of chronic alcoholism developed a severe, rapidly progressing, and fatal encephalopathy over 2.5 weeks.
    • The patient presented with acute febrile illness.
    • Necropsy revealed focal, acute hemorrhagic necrotizing lesions predominantly in the diencephalon, cingulate gyrus, and amygdala.

    Findings:

    • The observed brain lesions were attributed to a vasculopathy primarily affecting small veins.
    • The pathological findings in this case are unique.
    • There is a resemblance between the observed vasculopathy and the idiopathic disorder known as subacute diencephalic angioencephalopathy.

    Implications:

    • This case highlights a potentially rare but severe neurological complication of chronic alcoholism.
    • The findings suggest a possible link between alcoholic vasculopathy and the pathology seen in subacute diencephalic angioencephalopathy.
    • Further research is warranted to elucidate the specific mechanisms of this unique encephalopathy and its relationship to known neurological disorders.

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