@article{oai:sapmed.repo.nii.ac.jp:00008054, author = {中島, 信夫 and 田中, 千春 and 横尾, 智子 and 佐光, 一也 and 溝渕, 雅広 and 村上, 宣人 and 仁平, 敦子 and 伊藤, 直樹 and 中村, 順一 and 末松, 克美}, issue = {1}, journal = {北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation}, month = {Aug}, note = {A 38-year-old woman with chronic alcoholism developed a disturbance of consciousness, cogwheel rigidity of the limbs, forced grasping and myoclonus. She recovered from the disturbance of consciousness with a high dose of nicotinic acid and multiple vitamins. Nicotinic acid deficiency encephalopathy is characterized by a disturbance of consciousness, cogwheel rigidity of the limbs, forced grasping, cerebellar ataxia, alcoholic delirium and polyneuritis first reported by Jolliffe et al (1940). This syndrome should be treated with multiple vitamins in addition to nicotinic acid, because deficiency of a single vitamin is rare. Although it is rare in alcoholic patients, this treatable syndrome should always be considered in the presence of above symptoms and signs.}, pages = {51--53}, title = {ニコチン酸欠乏性脳症と考えられた一症例}, volume = {5}, year = {1992} }