Probable first report of a motor deafferentation syndrome in the Paraguayan War
ABSTRACT The Paraguayan War ended 150 years ago. Back then, there were outbreaks of combatants’ limb weakness and tingling related to "palustrian cachexia", not clearly funded at the time on nutritional deficiency, the use of native flora to feed troops, and alcoholism. We report a case of...
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Thieme Revinter Publicações
2021-06-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000600554&tlng=en |
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| author | Marleide da Mota GOMES Marcos Raimundo Gomes de FREITAS |
| author_facet | Marleide da Mota GOMES Marcos Raimundo Gomes de FREITAS |
| author_sort | Marleide da Mota GOMES |
| collection | DOAJ |
| description | ABSTRACT The Paraguayan War ended 150 years ago. Back then, there were outbreaks of combatants’ limb weakness and tingling related to "palustrian cachexia", not clearly funded at the time on nutritional deficiency, the use of native flora to feed troops, and alcoholism. We report a case of a soldier with ascending paralysis, mental confusion and finally tetraplegia with preserved oculomotricity. This would probably be a case of locked-in syndrome (LIS) due to Gayet-Wernicke's encephalopathy consequent to thiamine deficiency. The role of thiamine in the peripheral or central nervous system expression was shown decades later to be related to poor diet, or use of foods containing thiaminase or thiamine antagonists, worsened by the fact that the bodily stores of thiamine are restricted, and deficits may grow fast. |
| format | Article |
| id | doaj-art-7d74ef04275d4163936604c691b5c0f0 |
| institution | Kabale University |
| issn | 1678-4227 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-7d74ef04275d4163936604c691b5c0f02025-08-20T03:35:18ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272021-06-0179655455610.1590/0004-282x-anp-2020-0479Probable first report of a motor deafferentation syndrome in the Paraguayan WarMarleide da Mota GOMEShttps://orcid.org/0000-0001-8889-2573Marcos Raimundo Gomes de FREITAShttps://orcid.org/0000-0001-7747-0287ABSTRACT The Paraguayan War ended 150 years ago. Back then, there were outbreaks of combatants’ limb weakness and tingling related to "palustrian cachexia", not clearly funded at the time on nutritional deficiency, the use of native flora to feed troops, and alcoholism. We report a case of a soldier with ascending paralysis, mental confusion and finally tetraplegia with preserved oculomotricity. This would probably be a case of locked-in syndrome (LIS) due to Gayet-Wernicke's encephalopathy consequent to thiamine deficiency. The role of thiamine in the peripheral or central nervous system expression was shown decades later to be related to poor diet, or use of foods containing thiaminase or thiamine antagonists, worsened by the fact that the bodily stores of thiamine are restricted, and deficits may grow fast.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000600554&tlng=enBeriberiPolyneuropathyBrain DiseasesMyelinolysis, Central PontineThiamine DeficiencyLocked-in Syndrome |
| spellingShingle | Marleide da Mota GOMES Marcos Raimundo Gomes de FREITAS Probable first report of a motor deafferentation syndrome in the Paraguayan War Arquivos de Neuro-Psiquiatria Beriberi Polyneuropathy Brain Diseases Myelinolysis, Central Pontine Thiamine Deficiency Locked-in Syndrome |
| title | Probable first report of a motor deafferentation syndrome in the Paraguayan War |
| title_full | Probable first report of a motor deafferentation syndrome in the Paraguayan War |
| title_fullStr | Probable first report of a motor deafferentation syndrome in the Paraguayan War |
| title_full_unstemmed | Probable first report of a motor deafferentation syndrome in the Paraguayan War |
| title_short | Probable first report of a motor deafferentation syndrome in the Paraguayan War |
| title_sort | probable first report of a motor deafferentation syndrome in the paraguayan war |
| topic | Beriberi Polyneuropathy Brain Diseases Myelinolysis, Central Pontine Thiamine Deficiency Locked-in Syndrome |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000600554&tlng=en |
| work_keys_str_mv | AT marleidedamotagomes probablefirstreportofamotordeafferentationsyndromeintheparaguayanwar AT marcosraimundogomesdefreitas probablefirstreportofamotordeafferentationsyndromeintheparaguayanwar |