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长期酗酒可引起智能损害,主要影响记忆和人格。近年来CT证实慢性嗜酒者有累及皮质和皮质下结构的脑萎缩,而对小脑萎缩,目前也有所研究。作者为了评价嗜酒者小脑萎缩与共济失调及多发神经病之间的相互关系,对长期酗酒的45名男性患者,平均年龄43(26～60)岁进行了临床和CT研究。结果可见有多发性神经病症状和体征者共25例(56%);只有体征者仅6例。主要临床特点是累及触觉和痛觉的感觉障碍,而主观感觉障碍仅10例(22%)。有临床共济失调的患者共25例(55%),32例CT示有小脑萎缩,31例(68%)有蚓部萎缩,29例(64%)小脑半球萎缩。可见共济失调同小脑萎
Long-term alcohol abuse can cause intellectual damage, mainly affecting memory and personality. In recent years, CT confirmed chronic alcoholism involving the cortex and subcortical structures of brain atrophy, while the atrophy of the cerebellum, has also been studied. In order to evaluate the relationship between alcoholic cerebellar atrophy and ataxia and polyneuropathy, the authors conducted clinical and CT studies of 45 men with long-term alcohol abuse, mean age 43 (26-60) years. The results showed a total of 25 cases of neuropathic symptoms and signs (56%); only signs of only 6 cases. The main clinical features are sensory disturbances involving tactile and pain sensations, whereas subjective sensory disturbances are only 10 (22%). A total of 25 patients (55%) had clinical ataxia. Cerebral atrophy was observed in 32 CTs, vermis atrophy in 31 patients (68%), and atrophy in cerebellar hemispheres in 29 patients (64%). Visible ataxia with cerebellar wilt