Hearing and seeing: Unusual early signs of Wernicke encephalopathy

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Hearing and seeing: Unusual early signs of Wernicke encephalopathy.

A 31-year-old woman with Crohn disease presented with tinnitus, headache, apathy, blurred vision, and nystagmus after 3 weeks of IV nutrition and partial colectomy. MRI showed abnormalities of the inferior colliculi (figure). Serum thiamine was low (56 nM/L, normal 66) and symptoms resolved within 48 hours of thiamine IV supplementation, suggestive of Wernicke encephalopathy (WE). MRI usually s...

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ژورنال

عنوان ژورنال: Neurology

سال: 2008

ISSN: 0028-3878,1526-632X

DOI: 10.1212/01.wnl.0000324599.66359.b1