Teaching Video NeuroImages: Wernicke encephalopathy without mental status changes
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 کاملTeaching video neuroimages: complicated scapular winging.
Scapular winging (SW) is a common sign in neuromuscular disorders. Besides “pure” phenotypes due to single muscle weakness often secondary to nerve injuries or dysfunctions, the phenotype can be complicated when a combination of different scapular fixators is involved by a myopathy. We show an example of 2 sisters with facioscapulohumeral muscular dystrophy (video 1 on the Neurology® Web site a...
متن کاملTeaching Video NeuroImages: phenytoin-induced orofacial dyskinesias.
Brendan P. Lucey, MD A 55-year-old right-handed man started phenytoin after 2 seizures. Four weeks later, he complained of involuntary facial movements. Examination revealed orofacial dyskinesias: eyebrow elevation and lip pursing (video on the Neurology Web site at www. neurology.org). No ataxia, slurred speech, or nystagmus was seen. His phenytoin level was 29.5 mg/L when examined, increased ...
متن کاملTeaching video neuroimages: cold-induced eyelid myotonia.
A 48-year-old man presented with episodic paraplegia and stiffness of hands, face, and tongue, along with eyelid myotonia when exposed to cold temperature, which he had since childhood. Eyelid myotonia was evoked either by exposure to cold weather (video on the Neurology® Web site at www.neurology.org and figure 1) or by forceful eye closure. Myotonia was elicited with percussion of the tongue ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Neurology
سال: 2009
ISSN: 0028-3878,1526-632X
DOI: 10.1212/wnl.0b013e3181c1de31