Abstract
CT evidence of brain damage has been sought in subjects consuming alcohol between 10 g/day to over 200 g/day. Dietary contributing factors have been evaluated. The level of atrophy (shrinkage) has been correlated with intellectual performance. To establish a relationship between alcohol intake and brain structure and function, re-examination of subjects over a 6- to 12-month period of abstinence has been undertaken to examine any reversibility features. A record of liver function showed that brain damage always precedes liver damage. Subjects were re-examined a second time, who had initially abstained for six months and then had returned either to their original level of consumption or to one that was somewhat reduced. A regression in initial improvement was considered evidence of reversible brain damage that had originally been related to alcohol. The threshold consumption for CT damage was 40 g/day, but the level of CT atrophy at which cognitive dysfunction appeared has still to be established.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Cala LA, Thickbroom GW, Black JL, et al: Brain density and cerebrospinal fluid space size: CT of normal volunteers. Am J Neuroradiol 2:41–47, 1981.
Cala LA, Mastaglia FL: Computerized tomography in chronic alcoholics. Alcohol Clin Exp Res 5(2):283–294, 1981.
WHO Memorandum. Bull WHO, 59 (2):225–242, 1981.
Cala LA, Jones B, Mastaglia FL, et al: Brain atrophy and intellectual impairment in heavy drinkers—A clinical, psychometric and computerized tomography study. Aust NZ J Med 8:147–153, 1978.
Cala LA, Mastaglia FL: Computerized axial tomography (CAT) in the detection of occult brain damage. 1. Alcohol, nutritional deficiency and drugs of addiction. Med J Aust 2:193–198, 1980.
Cala LA, Mastaglia FL: Computerized axial tomography (CAT) in the detection of occult brain damage. 2. Epilepsy, migraine and general medical disorders. Med J Aust 2:616–620, 1980.
Cala LA, Mastaglia FL: Computerised axial tomography (CAT) detection of occult brain damage due to exogenous toxins and occupational hazards, in Man, Drugs and Society— Current Perspectives. Canberra, The Australian Foundation on Alcoholism and Drug Dependence, 1981, pp 372–378.
Cala LA, Burns P, Davis RE, et al: Dietary status in social drinkers. Aust Alcohol Drug Rev 2:45–46, 1983.
Cala LA, Jones B, Wiley B, et al: A computerized axial tomography (CAT) study of alcohol induced cerebral atrophy in conjunction with other correlates. Acta Psychiatr Scand 62(Suppl 286):31–40, 1980.
Wechsler D: Wechsler Adult Intelligence Scale (Manual). New York, The Psychological Corporation, 1955.
Wechsler D, Stone CP: Wechsler Memory Scale (Manual). New York, The Psychological Corporation, 1973.
Benton AL: Visual Retention Test. Clinical and Experimental Applications,ed 4. New York, The Psychological Corporation, 1974.
Reitan RM: The relation of the trail making test to organic brain damage. J Clin Psychol 19:393–394, 1955.
Halstead WC: Brain and Intelligence. Chicago, University of Chicago Press, 1947.
Cala LA, Jones B, Burns P, et al: Computerized tomography, psychometric and dietary observations in social drinkers with emphasis on reversibility. Med J Aust 2:264–269, 1983.
Cala LA: CAT scan measurement of brain density changes due to alcohol ingestion. Aust Alcohol Drug Rev l(l):62–64, 1982.
Cala LA, Burns P, Davis R, et al: Alcohol and brain damage. Aust Alcohol Drug Rev 3(l):53–58, 1984.
Ravens JC: Standard Progressive Matrices(Manual). London, H.K. Lewis and Co. Ltd., 1938 (revised 1956).
Ravens JC: Advanced Progressive Matrices. London, H.K. Lewis and Co. Ltd., 1962.
Wechsler D: Wechsler Adult Intelligence Scale—Revised (Manual). New York, The Psychological Corporation, 1981.
Myrhed M, Bergman H, Borg S, et al: Computer tomographic cerebral findings in a group of alcoholic patients. Hygiea Acta Societas Medicorum Suecanae 85:253–255, 1976.
Craik FIM: Similarities between the effects of ageing and alcohol intoxication on memory performance, construed within a “levels of processing” framework, in Birnbaum IM, Parker ES (eds): Alcohol and Human Memory. Hillsdale, New Jersey, Laurence Erlbaum Associates, 1977, pp 9–21.
Kish GB, Cheney TM: Impaired abilities in alcoholism; measured by the General Aptitude Test Battery. Q J Stud Alcohol 30:384–388, 1969.
Parker ES, Noble EP: Alcohol and the aging process in social drinkers. J Stud Alcohol 41:170–178, 1980.
Parker ES, Noble EP: Alcohol consumption and cognitive functioning in social drinkers. J Stud Alcohol 38(7):1224–1232, 1977.
Carlen PL, Wortzman G, Holgate RC, et al: Reversible cerebral atrophy in recently abstinent chronic alcoholics measured by computed tomography scans. Science 200:1076, 1978.
Parker ES, Birnbaum IM, Boyd RA, et al: Neuropsychologic decrements as a function of alcohol intake in male students. Alcohol Clin Exp Res 4(3):330–334, 1980.
MacVane J, Butters N, Montgomery K, et al: Cognitive functioning in men social drinkers: A replication study. J Stud Alcohol 43(l):81–95, 1982.
Bergman H, Borg S, Hindmarsh T, et al: Computed tomography of the brain and neuropsychological assessment of alcoholic patients, in Begleiter H (ed): Biological Effects of Alcohol. New York, Plenum Publishing Corporation, 1980, pp 771–786.
Graff-Radford NR, Heaton RK, Earnest MP, et al: Brain atrophy and neuropsychological impairment in young alcoholics. J Stud Alcohol 43(9):859–868, 1982.
Acker W, Aps EJ, Majumdar SK, et al: The relationship between brain and liver damage in chronic alcoholic patients. J Neurol Neurosurg Psychiatr 45:984–987, 1982.
Carlen PL, Wilkinson DA: Alcoholic brain damage and reversible deficits. Acta Psychiatr Scand 62 (Suppl 286):103–118, 1980.
Zatz LM, Jernigan TL, Ahumada AJ Jr: White matter changes in cerebral computed tomography related to aging. J Comput Assist Tomogr 6(1):19–23, 1982.
Witt ED, Goldman-Rakic PS: Intermittent thiamin deficiency in the rhesus monkey. II. Evidence for memory loss. Ann Neurol 13:396–401, 1983.
Ron MR, Acker W, Shaw GK, et al: Computerized tomography of the brain in chronic alcoholism: A survey and follow-up study. Brain 105:497–514, 1982.
Parsons OA, Leber WR: The relationship between cognitive dysfunction and brain damage in alcoholics: Causal, interactive or epiphenomenal? Alcohol Clin Exp Res 5(2):326–343, 1981.
Bergman H, Borg S, Hindmarsh T, et al: Computed tomography of the brain, clinical examination and neuropsychological assessment of a random sample of men from the general population. Acta Psychiatr Scand 62(Suppl 286):47–56, 1980.
Sharp JR, Rosenbaum G, Goldman MD, et al: Recoverability of psychological functioning following alcohol abuse: Acquisition of meaningful synonyms. J Consult Clin Psychol 45:1023–1028, 1977.
Page RD, Schaub LH: Intellectual functioning in alcoholics during six months abstinence. J Stud Alcohol 38:1240–1246, 1977.
Ayers J, Templer DI, Ruff CK, et al: Trail making test improvement in abstinent alcoholics. J Stud Alcohol 39:1627–1629, 1978.
Cermack LS, Ryback RS: Recovery of verbal short-term memory in alcoholics. J Stud Alcohol 37:46–52, 1976.
Kish GB, Hagen JM, Woody MM, et al: Alcoholics recovery from cerebral impairment as a function of duration of abstinence. J Clin Psychol 36:584–589, 1980.
Eckhardt MJ, Parker ES, Noble EP, et al: Changes in neuropsychological performance during treatment for alcoholism. Biol Psychiatry 4(6):943–954, 1979.
Zatz LM, Jernigan TL, Ahumada AJ Jr: Changes on computed cranial tomography with aging: Intracranial fluid volume. Am J Neuroradiol 3:1–11, 1982.
Johannesson G, Berglund M, Ingvar DH: Reduction of blood flow in cerebral white matter in alcoholics related to hepatic function. Acta Neurol Scand 65:190–202, 1982.
Lee K, Jensen E, Bech P: Neuropsychological and computerized tomographic evaluations of young alcoholics. Br J Psychiatry 141:282–285, 1982.
Wood B, Goode A, Buttigieg R, et al: The effect of short-term moderate alcohol consumption on health and thiamin status. J Stud Alcohol 43(1):158–163, 1982.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1985 Plenum Press, New York
About this chapter
Cite this chapter
Cala, L.A. (1985). CT Demonstration of the Early Effects of Alcohol on the Brain. In: Galanter, M. (eds) Recent Developments in Alcoholism. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-7715-7_20
Download citation
DOI: https://doi.org/10.1007/978-1-4615-7715-7_20
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4615-7717-1
Online ISBN: 978-1-4615-7715-7
eBook Packages: Springer Book Archive