Although a variety of pathological changes have been described in the brains of chronic alcoholic patients, there have been no studies which have addressed the question of alterations in cortical neuronal dendritic arborisation. Loss of neurons from the superior frontal gyrui and shrinkage of neurons from both the superior frontal gyrus and motor cortex has been documented in chronic alcoholic patients; these areas were chosen for this study. Using a modified rapid Golgi technique the basal dendritic arborisation of layer III pyramidal neurons was compared in 15 male alcoholic patients and 15 age-matched male controls. All parameters measuring basal dendritic arborisation were significantly less in the alcoholic cases for both the superior frontal and motor cortices. Changes in the arbor are in the terminal branches, which is consistent with other models of dendritic plasticity. Such changes may explain both permanent and reversible functional deficits in chronic alcoholic patients.
Materials and methodsThe brains of 15 alcoholics and 15 controls were used in this study. These were obtained from necropsies performed in collaboration with the forensic pathologists of the Perth City Coroner's Department. The cases were all males and the controls were matched for age and postmortem delay to the alcoholics. Five of the controls had been teetotal and the remainder drank less than 20 g of alcohol per day. The alcoholic patients drank more than 120 g of alcohol per day. The information to allow categorisation of cases into "control" and "alcoholic" had been obtained from clinical notes available from previous admissions to the teaching hospitals of Perth, the results of detailed questionnaires on alcohol intake and the nutritional state provided by relatives of the deceased, and reports concerning the circumstances of death.Each case had a complete necropsy and microscopic examination of the tissues including the liver and brain. Patients who had a history of, or showed pathological evidence of neurological diseases other than those associated with alcoholism, were excluded. No cases with evidence of brain pathology (for example, infarcts, contusions) were included.