neurology

1) What could have been the reason for this patient to develop ataxia in the past 1 year?

Ans: the reason for patient to develop ataxia in past one year is ALCOHOL

The toxic effects of alcohol are diverse. Alcohol-related cerebellar degeneration is one of the commonest causes of acquired cerebellar ataxia(ALCOHOL INDUCED TOXIC ATAXIA). 

 The pathophysiology remains unclear but proposed mechanisms include excitotoxicity, dietary factors, oxidative stress, compromised energy production and cell death


2) What was the reason for his IC bleed? Does Alcoholism contribute to bleeding diatheses ?

Ans: the reason for IC bleed is
       
CHRONIC ALCOHOL CONSUMPTION 
 ↓
ALCOHOL INDUCED TOXIC ATAXIA
       ↓       
REPEATED FALLS
       ↓      
IC BLEEDING







* The impaired platelet function, together with the reduced platelet count, may contribute to the bleeding diathesis associated with chronic alcoholism and to the increased incidence and recurrence of gastrointestinal haemorrhage associated with excessive alcohol intake.

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