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Computed-Tomography of the Brain and Neuropsychological Assessment of Alcoholic Patients

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Biological Effects of Alcohol

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 126))

Abstract

The purpose of the project is to assess the state of the brain of alcoholic patients by means of computerized tomography and by neuropsychological performance and to correlate the findings with the clinical course of alcohol dependence. The investigated group is a consecutive series of 106 patients admitted for treatment of alcoholism and participating in a prospective program of mapping medical, social and psychological characteristics. Cortical changes were diagnosed in 59.6% of the investigated patients, enlarged lateral ventricles in 33.3% and an enlarged 3rd ventricle in 48.3% With regard to neuropsychological functioning 54.2% of the sample scored in the mildly to severely impaired region of the Halstead Impairment Index and 63.5% were considered to show signs of an intellectual impairment in the psychologist’s overall assessment of test results. Cortical changes and ventricular enlargement seemed to follow different courses in the investigated group since they were uncorrelated in the subgroup of older patients with long duration of heavy drinking. The correlations between neuropsychological functioning and morphological changes were generally low. However, the results suggest that learning and memory deficits indicate subcortical changes in the brains of alcoholic patients while a high score on the Halstead Impairment Index indicates cortical changes.

The project is supported by grants from the Bank, of Sweden Tercentenary Foundation (project No. 77/74.).

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References

  • Ambrose, J. Computerized transverse axial scanning (tomography): Part II. Clinical application. British Journal of Radiology, 46, 1023, 1973.

    Article  CAS  PubMed  Google Scholar 

  • Bergman, H. The Karolinska Project for Research and Treatment of Alcohol Dependence (KARTAD): IV. Psychological aspects, in “Recent advances in the study of alcoholism”, C.–M. Ideström (Ed.). Excerpta Medica International Congress Series No. U07, pp. 88–92, 1977.

    Google Scholar 

  • Bergman, H. and Ågren, G. Cognitive style and intellectual performance in relation to the progres:s of alcoholism. Quarterly Journal of Studies on Alcohol, 35 1242–1255, 1974.

    Google Scholar 

  • Bergman, H., Borg, S., Hindmarsh, T., Ideström, C.–M. and Mützell, S. Alcoholism and brain damage: A review. In preparation, 1978.

    Google Scholar 

  • Borg, S. The Karolinska Project for Research and Treatment of Alcohol Dependence (KARTAD): I. Psychiatric aspects, in “Recent advances in the study of alcoholism”, C.–M. Ideström (Ed.). Excerpta Medica International Congress Series No. 407, pp. 69–74, 1977.

    Google Scholar 

  • Cala, L.A., Jones, B., Mastaglia, F.L. and Wiley, B. Brain atrophy and intellectual impairment in heavy drinkers-a clinical psychometric and computerized tomography study. Australian and New Zealand Journal of Medicine, 8, 147–153, 1978.

    Article  CAS  PubMed  Google Scholar 

  • Carlen, P.L., Wilkinson, A. and Kiraly, L.T. Dementia in alcoholics: A longitudinal study including some reversible aspects. Neurology, 26, 355, 1976.

    Google Scholar 

  • Claeson, L.-E, Eshjörnsson, E., Carle, B.-M. and Wahlhin, M. Claeson-Dahls inlärningstest för kliniskt bruk [Claeson-Dahl verbal learning test for clinical use]. Stockholm: Skandinaviska Testförlaget, 1971.

    Google Scholar 

  • Damström, K. The Karolinska Project for Research and Treatment of Alcohol. Dependence (KARTAD): III. Sociological aspects, in “Recent advances in the study of alcoholism”, C.-M. Ideström (Ed.). Excerpta Medica International Congress Series No. 407, pp 82–87, 1977.

    Google Scholar 

  • Department of Neuroradiology. Alcohol EMI *f 427 questionnaire. Karolinska sjukhuset, 1977.

    Google Scholar 

  • Dureman, 1. and Saide, H. DS-batteriet. [The DS battery]. Stockholm: Alinqvist & Wiksell, 1971.

    Google Scholar 

  • Epstein, P.S., Pisani, V. Doan Fawcett, J.A. Alcoholism and cerebral atrophy. Alcoholism: Clinical and Experimental Research, 1, 61–65, 1977.

    Article  CAS  Google Scholar 

  • Fox, J.H., Ramsey, R.G., Huckman, M.S, and Proske, A.E. Cerebral ventricular enlargment: Chronic alcoholics examined by computerized tomography. JMA, 236, 365–368, 1976

    CAS  Google Scholar 

  • Goodwin, D.W., Schulsinger, F., Hermansen, L., Guze, S.B. and Winokur, G. Alcoholism and the hyperactive child syndrome. Journal of Nervous and Mental Disease, 160, 349–353, 1975.

    Article  CAS  PubMed  Google Scholar 

  • Graham, F.K. and Kendall, B.S. Memory-for-Designs Test: Revised general manual. Perceptual and Motor Skills, 11, 147–188, 1960.

    Google Scholar 

  • Hill, S.Y. Computerized transaxial tomography and neuropsychological impairment in alcoholics and opiate abusers: A comparison. Paper presented at the Ninth Annual NCA-AMSA-RSA Medical-Scientific Conference of the National Alcoholism Forum, USA, May, 1978.

    Google Scholar 

  • Hindmarsh, T. Computed tomography of the brain in a group of industrial painters exposed to organic solvents. To be published in Scandinavian Journal of Work and Environmental Health.

    Google Scholar 

  • Kleinknecht, R.A. and Goldstein, S.G. Neuropsychological deficits associated with alcoholism. Quarterly Journal of Studies on Alcoholism, 33, 999–1019, 1972.

    CAS  Google Scholar 

  • Myrhed, M. The Karolinska Project for Research and Treatment of Alcohol Dependence (KARTAD): II. Pharmacological, somatic and laboratory aspects, in “Recent advances in the study of alcoholism”, C.-M. Ideström (Ed.). Excerpta Medica International Congress Series No. 407, pp. 75–81, 1977

    Google Scholar 

  • Myrhed, M., Bergman, H., Borg, S., Hindmarsh, T. and Ideström, C.-M. Computer tomographic cerebral findings in a group of alcoholic patients. Hygiea Acta Societas Medicorum Suecanae, 253, 1976.

    Google Scholar 

  • Reitan, R.M. and Davison, L.A. (Eds.).Clinical neuropsychology: Current status and applications. Washington, D.C.: Winston-Wiley, 1974.

    Google Scholar 

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© 1980 Plenum Press, New York

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Bergman, H., Borg, S., Hindmarsh, T., Ideström, CM., Mützell, S. (1980). Computed-Tomography of the Brain and Neuropsychological Assessment of Alcoholic Patients. In: Begleiter, H. (eds) Biological Effects of Alcohol. Advances in Experimental Medicine and Biology, vol 126. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-3632-7_57

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  • DOI: https://doi.org/10.1007/978-1-4684-3632-7_57

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-3634-1

  • Online ISBN: 978-1-4684-3632-7

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