Teaching NeuroImages: Wernicke encephalopathy: Diagnostically deceptive but treatable
نویسندگان
چکیده
منابع مشابه
Teaching Video NeuroImages: Wernicke encephalopathy without mental status changes.
Ryan J. MacDonald, MD Peter P. Stanich, MD Priya A. Monrad, MD Farrah J. Mateen, MD A 43-year-old man with chronic pancreatitis and 7-kg weight loss secondary to persistent nausea and reduced oral intake presented with double vision and gait unsteadiness. Neurologic examination revealed complete horizontal and partial vertical ophthalmoplegia with prominent gait ataxia (video 1 on the Neurology...
متن کاملTeaching NeuroImages: the full-blown neuroimaging of Wernicke encephalopathy.
A 55-year-old man presented in a global confusional state and after 24 hours fell into deep coma. Laboratory findings, including alcohol level, were normal. MRI showed abnormalities typical of Wernicke encephalopathy (figure).1,2 Thiamine was administered immediately, but the patient died 2 weeks later. The diagnosis was confirmed by measurement of blood thiamine level (19.3 ng/ mL; normal rang...
متن کاملWernicke ’ S Encephalopathy Revisited
Aims: A translation into English of the case history section of Carl Wernicke’s original manuscript of 1881, with a discussion on its relevance for clinicians today. Methods: A copy of Carl Wernicke’s original German text was obtained by one of the authors (CCHC) and translated into English from the old German by a professional translator. Results: The translation was subsequently agreed by nat...
متن کاملTeaching NeuroImages: Posterior reversible encephalopathy syndrome resulting in hydrocephalus.
A woman with prior lung transplantation presented with headaches, seizure, and obtundation. Head MRI (figure) revealed obstructive hydrocephalus and hyperintensity on T2-weighted imaging in the bilateral thalami and brainstem. Management included antiepileptic medications, ventriculostomy placement, and cessation of tacrolimus for concern of atypical posterior reversible encephalopathy syndrome...
متن کاملTeaching neuroimages: Central variant of posterior reversible encephalopathy syndrome.
A 55-year-old man with chronic hypertension presented with acute headache and dizziness. Physical examination showed severe hypertension (210/140 mm Hg) without any neurologic sign. Brain MRI showed diffuse brain edema over the brainstem, bilateral thalami, and cerebellar hemispheres with multiple microbleeds at bilateral basal ganglia (figure 1). His symptoms improved dramatically after antihy...
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ژورنال
عنوان ژورنال: Neurology
سال: 2013
ISSN: 0028-3878,1526-632X
DOI: 10.1212/wnl.0b013e31828406c8