Document Detail

Dry beriberi mimicking the Guillain-Barre syndrome.
MedLine Citation:
PMID:  19608771     Owner:  NLM     Status:  MEDLINE    
A 44-year-old man is described with severe flaccid quadriparesis that evolved over 3 weeks. He had regularly binged on alcohol-up to 20 cans of beer per day with occasional consumption of spirits-for more than 15 years but had balanced this with regular food intake. However, for a week prior to the current episode he had not eaten anything of significance. Nerve conduction studies revealed a background peripheral, mainly sensory, neuropathy with a superimposed acute motor axonopathy. CSF was normal. He improved with high dose vitamin replacement and physiotherapy but remains dependent on a Zimmer frame for mobility and a splint for wrist drop.
Christopher Murphy; I Hussain Bangash; Anoop Varma
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Practical neurology     Volume:  9     ISSN:  1474-7766     ISO Abbreviation:  Pract Neurol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-17     Completed Date:  2009-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130961     Medline TA:  Pract Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  221-4     Citation Subset:  IM    
Greater Manchester Neuroscience Centre, Salford Royal Hospital, Stott Lane, Salford M6 8HD, UK.
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MeSH Terms
Alcohol-Induced Disorders, Nervous System / diagnosis*,  physiopathology
Alcoholic Neuropathy / diagnosis,  physiopathology
Beriberi / diagnosis*,  physiopathology
Demyelinating Diseases / chemically induced,  pathology,  physiopathology
Diagnosis, Differential
Dietary Supplements
Disease Progression
Foot Deformities / etiology
Guillain-Barre Syndrome / diagnosis*,  physiopathology
Horner Syndrome / etiology,  physiopathology
Magnetic Resonance Imaging
Motor Neuron Disease / chemically induced,  diagnosis,  physiopathology
Muscle Weakness / etiology,  physiopathology
Nutrition Disorders / diagnosis*,  etiology,  physiopathology
Pons / pathology
Quadriplegia / etiology*,  physiopathology
Thiamine Deficiency / diagnosis,  physiopathology
Treatment Outcome
Comment In:
Pract Neurol. 2009 Aug;9(4):225-6   [PMID:  19608772 ]

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