Alcohol-Induced Persistent Mild Cognitive Impairment with Successful Withdrawal from Alcohol Dependence : A Case Report

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Title ( eng )
Alcohol-Induced Persistent Mild Cognitive Impairment with Successful Withdrawal from Alcohol Dependence : A Case Report
Creator
Harada Toshihide
Ishizaki Fumiko
Horie Nobuko
Katsuoka Hiroyuki
Nitta Yumiko
Yamada Tohru
Nitta Kohsaku
Ito Makoto
Source Title
Hiroshima Journal of Medical Sciences
Volume 60
Issue 1
Start Page 11
End Page 13
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
An 81-year-old man diagnosed with alcohol-induced persistent mild cognitive impairment consulted our clinic presenting with gait disturbance. Between the ages of 20 and 53 years, his alcohol consumption was 1.8 liters of alcoholic sake per day. However, from the age of 53 years onward, his consumption decreased to 360 ml per day. The patient had alcoholic neuropathy, mild cognitive impairment, and alcoholic cerebellar disorder. His score on the revised version of Hasegawa's Dementia Scale (HDS-R) was 22 and his clinical dementia rating (CDR) was 0.5. His score on the Japanese version of the Mini-Mental State Examination (MMSE) was 22. These scores indicated mild cognitive impairment (MCI). He had delusions and confabulations, without impairment of date and place orientation. Magnetic resonance imaging (MRI) demonstrated enlarged ventricles, sulcal widening, and brain atrophy. He was provided with medication and counseling to treat his alcohol abuse. He accepted our treatment and is presently doing well after 1 year 2 months of treatment.
Keywords
Alcoholism
Mild cognitive impairment (MCI)
Mini-Mental State Examination (MMSE)
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 2011-03
Rights
(c) Hiroshima University Medical Press.
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312