Wernicke's Encephalopathy Presenting with Bilateral Complete Horizontal and Downward Gaze Palsy in a Malnourished Patient
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منابع مشابه
A Rare Presentation of Isolated Oculomotor Nerve Palsy due to Multiple Sclerosis in a Child
Multiple sclerosis (MS) is an inflammatory, demyelinating, neurodegenerative disorder of the central nervous system (CNS) of unknown etiology. Isolated oculomotor nerve palsy is found rarely in children with MS. We present a case of MS in 10-year-old boy, who had bilateral ptosis associated with medial gaze restriction. The extraocular muscle examination demonstrated bilateral adduction pa...
متن کاملPrimary position upbeat nystagmus in Wernicke's encephalopathy.
for morbid obesity. In the subsequent 4 months, he suffered from recurrent and intense vomiting, losing 40 kg. Asymptomatic hypokalemia and hypomagnesemia were discovered and supplemented. At this time, systematic oral vitamin therapy was begun. One month later, he started to describe blurred vision and vertical oscillopsia. Neurological examination revealed ataxia and nystagmus. Standard biolo...
متن کاملProgressive supranuclear palsy with wall-eyed bilateral internuclear ophthalmoplegia syndrome.
BACKGROUND Walleyed bilateral internuclear ophthalmoplegia (WEBINO) syndrome has mainly been reported in patients with cerebrovascular diseases and multiple sclerosis, but has never been described in patients with neurodegenerative diseases. OBJECTIVE To describe a patient with progressive supranuclear palsy (PSP) who presented with WEBINO syndrome. DESIGN Case report and review of literatu...
متن کاملAtypical Wernicke's encephalopathy with remarkable cerebellar lesions on diffusion-weighted MRI.
sphere and posterior vermis, simulating acute bilateral cerebellar infarctions ( fig. 1 A). An initial diagnosis was made based on a history of chronic alcohol abuse, with typical symptoms that included altered mental state and ophthalmoplegia, and combined lesions on bilateral thalamus and periaqueductal gray matter on DWI ( fig. 1 B). Immediate administration of 300 mg thiamine commenced. On ...
متن کاملLETTERS TO THE EDITOR Coexisting vertical and horizontal one and a half syndromes
Supranuclear ocular movements comprise chiefly vertical and horizontal movements; horizontal movements are controlled by the subcortical centres located mainly at the pontine level and vertical movements at the level of the rostral midbrain. 2 The classic one and a half syndrome is produced by a unilateral pontine tegmental lesion that includes the paramedian pontine reticular formation and med...
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