We report a rare case of non-alcoholic Wernicke encephalopathy (WE) with polyneuropathy. A 24-year-old woman who had recently served a 4-month prison sentence and underwent a short period of dieting manifested slow response, weakness, language disorder and amnesia. Brain magnetic resonance imaging (MRI) revealed typical lesions of WE. Examination of nerve conduction velocity revealed sensory-mo...

To cite: Aires A, Filipe JP, Garrett MC, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207284 DESCRIPTION A 62-year-old man presented with subacute horizontal binocular diplopia and slight gait imbalance, preceded by frequent episodes of vomiting. The patient had undergone two gastric surgeries for gastric ulcer in the past (in 1988 and 2002). Bilater...

Wernicke encephalopathy (WE) is a neurologic disorder characterized by clinical symptoms, such as nystagmus, ataxia, and mental confusion. Hypothermia in patients with WE is a rare complication, and its pathogenic mechanism and therapy are yet to be ascertained. Herein, we presented a case of a 61-year-old man who was diagnosed with WE 3 months earlier. We investigated the cause of hypothermia ...

Of special note are neurological complications, which manifest at 3 to 20 months after bariatric surgery and all affect patients experiencing prolonged vomiting. The neurological symptoms include chronic and subacute peripheral neuropathy, acute peripheral neuropathy, burning feet, meralgia paresthetica, myotonic syndrome, posterolateral myelopathy, and Wernicke encephalopathy [1]. Since the nu...

BACKGROUND AND PURPOSE Nonalcoholic Wernicke encephalopathy (WE) is prone to be underestimated in clinical practice. The purpose of this study was to improve its awareness and early accurate diagnosis. MATERIALS AND METHODS We conducted a retrospective review of the cases of 12 patients with nonalcoholic WE, consisting of clinical characteristics and MR imaging features as well as follow-up a...

Wernicke encephalopathy (WE) is a combination of neurological findings including confusion, ataxia, and ophthalmoplegia. It most commonly associated with patients who have history alcohol abuse. This aspect leads to the majority cases going undiagnosed in non-alcoholic other potential thiamine deficiency-causing conditions such as malignancy, chronic kidney disease (CKD) on hemodialysis, hypere...

国内のアルコール依存症はICD-10による診断で約80 万人,久里浜式アルコールスクリーニングテストによる 問題飲酒者は約430万人と推定されている.アルコー ルは体内で乳酸となり,さらに好気性解糖を受けるには ビタミンB1が補酵素として消費される.つまり,アル コールを摂取すると多くのビタミンB1がいる.そのた め,アルコール依存症患者は長期の飲酒と不規則な食事 でビタミンB1の欠乏をきたしやすい. ウェルニッケ脳症はビタミンB1の欠乏による脳幹 部の小出血が原因で,アルコール依存症が大部分を占め る.症状は急性におこるせん妄,発熱,眼筋麻痺, けいれん発作などである.アルコールによる脳障害で あるコルサコフ症候群は,ウェルニッケ脳症の報告から 6年後の1887年にKorsakoffが記載した.症状は,健 忘,記銘力障害,失見当識,作話などである.ウェル ニッケ脳症の後遺症として現...

Although the correspondence between functional-magnetic resonance imaging (fMRI) representations of the sensorimotor cortex and intraoperative electrophysiology (including somatosensory evoked potential, SSEP, recordings and direct cortical stimulation) has been reported, a similar correspondence between fMRI and intraoperative localization of the language-sensitive cortex is not as well establ...

Citation: Montefinese M, Ciavarro M and Ambrosini E (2015) What is the right place for atypical exemplars? Commentary: The right hemisphere contribution to semantic categorization: a TMS study. Categorization helps organizing our world knowledge by classifying exemplar concepts into categories. The degree to which an exemplar is representative of its category is called typicality (Rosch and Mer...