Drinkers warned of 'pickled walnut' effect

Published: 9:31PM Tuesday October 13, 2009 Source: AAP

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  • Drinkers warned of 'pickled walnut' effect  (Source: Reuters)
    Source: Reuters

The damage caused by alcohol can be clearly seen in the brain and it's a process that starts sooner than many people think, an expert has warned.
  
Dr Mark Daglish, Director of Addiction Psychiatry at Royal Brisbane and Women's Hospital (RBWH), also says Australian drinkers should be more mindful of a condition known to doctors as the pickled walnut effect.
  
"There are studies going back a long way looking at post-mortem effects of alcohol on the brain, we can see brain atrophy and we can see a particular type of damage associated with vitamin deficiency," Daglish said.
  
"We also know about alcohol-related dementia where you get globalised atrophy of the brain following usually years of chronic alcohol misuse.
  
"The classic MRI pictures ... show a shrunken brain with extra fluid about it that we generally nickname the `pickled walnut' because of what it looks like."
  
Daglish said alcohol abuse could lead to vitamin B1 deficiency which could cause memory deficits.
  
The quantity of alcohol required to cause more serious damage to the structure of the brain differed for each person, he said, while genetic factors played a role.
  
For some families, the liver was the leading organ to be damaged by alcohol misuse while for others it was the heart or the brain.

Daglish said serious brain damage could be caused by regular heavy drinking over a lifetime, a pattern of drinking that would not necessarily raise a red flag for alcoholism.
  
"You're talking about heavy drinking, you're not talking necessarily about dependent drinking," Daglish said.
  
"It's the sort of person who is drinking every day but not necessarily to intoxication ... they are increasing their risk of developing gradual (brain) atrophy."
  
Daglish spoke at the 2009 RBWH Health Care Symposium, which had lifestyle choices and their consequences as a central theme.

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