Acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication

Wei-Che Wang, Hsiu-Chun Yang, Yao-Jen Chen Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan Abstract: Acute-onset alcohol-associated neuropathy is only occasionally reported, and delayed postanoxic encephalopathy is rare. Here, we report...

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Autores principales:	Wang WC, Yang HC, Chen YJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/c44271055ba54971a99759f5be3124ef
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spelling	oai:doaj.org-article:c44271055ba54971a99759f5be3124ef2021-12-02T09:06:39ZAcute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication1178-2021https://doaj.org/article/c44271055ba54971a99759f5be3124ef2015-07-01T00:00:00Zhttp://www.dovepress.com/acute-multiple-focal-neuropathies-and-delayed-postanoxic-encephalopath-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Wei-Che Wang, Hsiu-Chun Yang, Yao-Jen Chen Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan Abstract: Acute-onset alcohol-associated neuropathy is only occasionally reported, and delayed postanoxic encephalopathy is rare. Here, we report a male who developed acute multiple focal neuropathies and later delayed postanoxic encephalopathy after alcohol intoxication. He had hypoxia and rhabdomyolysis, presenting with acute renal failure initially, and cardiopulmonary support, including mechanical ventilation, led to improvement of the patient at the acute stage. He suffered from bilateral hand numbness and mild weakness of the right lower limb thereafter. Nerve-conduction study revealed no pickup of compound muscle action potential or sensory nerve action potential in the bilateral ulnar nerve, but showed attenuated amplitude of compound muscle action potential in the right femoral nerve. Multiple focal neuropathies were suspected, and he received outpatient rehabilitation after being discharged. However, the patient developed gradual onset of weakness in four limbs and cognitive impairment 23 days after the hypoxia event. Brain computed tomography showed low attenuation over bilateral globus pallidus, and brain magnetic resonance imaging disclosed diffuse increased signal intensity on T2-weighted images and fluid-attenuated inversion recovery in bilateral white matter. He was admitted again under the impression of delayed postanoxic brain injury. Supportive treatment and active rehabilitation were given. He had gradual improvement in motor and functional status after rehabilitation. He could walk with festinating gait under supervision, and needed only minimal assistance in performing activities of daily living approximately 1 year later. Keywords: multiple focal neuropathies, delayed postanoxic encephalopathy, alcohol intoxication, rhabdomyolysisWang WCYang HCChen YJDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 1781-1784 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Wang WC Yang HC Chen YJ Acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication
description	Wei-Che Wang, Hsiu-Chun Yang, Yao-Jen Chen Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan Abstract: Acute-onset alcohol-associated neuropathy is only occasionally reported, and delayed postanoxic encephalopathy is rare. Here, we report a male who developed acute multiple focal neuropathies and later delayed postanoxic encephalopathy after alcohol intoxication. He had hypoxia and rhabdomyolysis, presenting with acute renal failure initially, and cardiopulmonary support, including mechanical ventilation, led to improvement of the patient at the acute stage. He suffered from bilateral hand numbness and mild weakness of the right lower limb thereafter. Nerve-conduction study revealed no pickup of compound muscle action potential or sensory nerve action potential in the bilateral ulnar nerve, but showed attenuated amplitude of compound muscle action potential in the right femoral nerve. Multiple focal neuropathies were suspected, and he received outpatient rehabilitation after being discharged. However, the patient developed gradual onset of weakness in four limbs and cognitive impairment 23 days after the hypoxia event. Brain computed tomography showed low attenuation over bilateral globus pallidus, and brain magnetic resonance imaging disclosed diffuse increased signal intensity on T2-weighted images and fluid-attenuated inversion recovery in bilateral white matter. He was admitted again under the impression of delayed postanoxic brain injury. Supportive treatment and active rehabilitation were given. He had gradual improvement in motor and functional status after rehabilitation. He could walk with festinating gait under supervision, and needed only minimal assistance in performing activities of daily living approximately 1 year later. Keywords: multiple focal neuropathies, delayed postanoxic encephalopathy, alcohol intoxication, rhabdomyolysis
format	article
author	Wang WC Yang HC Chen YJ
author_facet	Wang WC Yang HC Chen YJ
author_sort	Wang WC
title	Acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication
title_short	Acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication
title_full	Acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication
title_fullStr	Acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication
title_full_unstemmed	Acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication
title_sort	acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/c44271055ba54971a99759f5be3124ef
work_keys_str_mv	AT wangwc acutemultiplefocalneuropathiesanddelayedpostanoxicencephalopathyafteralcoholintoxication AT yanghc acutemultiplefocalneuropathiesanddelayedpostanoxicencephalopathyafteralcoholintoxication AT chenyj acutemultiplefocalneuropathiesanddelayedpostanoxicencephalopathyafteralcoholintoxication
_version_	1718398270136385536

Acute multiple focal neuropathies and delayed postanoxic encephalopathy after alcohol intoxication

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