Evidence map›Paper›PMID 39791092›Full record

ArticleCureus2024

An Atypical Case of Marchiafava-Bignami Disease in a Young Chronic Alcoholic: Challenges in Diagnosis and Prognosis.

Devika Menrai, Shyam Kiran Gandam Venkata, Sudeep Chakravarthy Bhuram, Sai Sruthi Bhuram

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Devika MenraiCritical Care Medicine, Springfield Clinic, Springfield, USA.
Shyam Kiran Gandam VenkataCritical Care Medicine, Springfield Clinic, Springfield, USA.
Sudeep Chakravarthy BhuramCritical Care Medicine, Springfield Clinic, Springfield, USA.
Sai Sruthi BhuramCritical Care Medicine, Springfield Clinic, Springfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 27-year-old male patient with chronic alcohol use disorder was diagnosed with Marchiafava-Bignami disease (MBD) after experiencing an episode of unconsciousness. MRI scans revealed lesions in the corpus callosum and adjacent white matter. Despite prompt initiation of intensive treatment with high-dose thiamine and corticosteroids, the patient only partially recovered, remaining disoriented and exhibiting persistent neurological deficits during follow-up. MBD is a rare condition seen in individuals with chronic alcohol use disorder and malnutrition, often resulting in unfavorable outcomes despite prompt intervention. This case underscores the impact of the patient's young age at the onset of alcohol dependence, a low Glasgow Coma Scale score, and the presence of extracallosal lesions on his overall prognosis. We discuss the pathophysiology, presentation, and treatment. We also describe the role of each prognostic factor of MBD in an unfavourable outcome highlighting the need for a larger study to define various prognostic indicators at presentation and identify appropriate treatment approaches.

Indexed as

chronic alcoholismconfusionmalnutritionmarchiafava-bignami diseasewernicke encephalopathy

Identifiers

PMID39791092
PMCPMC11717062

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.