2010, Number 6
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Med Int Mex 2010; 26 (6)
Marchiafava-Bignami disease in two Mexican patients. Pathologic findings and clinical and radiological correlation
Reyes SG, Castillo RC, Cabrera RA
Language: Spanish
References: 31
Page: 619-624
PDF size: 497.54 Kb.
ABSTRACT
The Marchiafava-Bignami disease was described by Marchiafava and Bignami in two alcoholics Italians patients, they presented seizures, coma and death. The clinical characteristics are varied, but the most common are dementia, impaired attention, difficulty in gait and interhemisférica disconnection, this syndrome are caused by demyelination of the corpus callosum. We reported the clinical, radiologic and histologic features using tissue obtained by stereotaxy biopsy and craniotomy. Two patients were described with history of chronic alcoholism. The differential diagnosis of the lesions in the corpus callosum must include EMB, acute disseminated encephalomyelitis, lymphoma, multiform glioblastoma and infectious lesions. These are the firsts mexican cases reports with EMB, documented by clinical radiological and histopathologically.
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