Document Detail

Magnetic resonance imaging in a case of Wernicke's encephalopathy.
MedLine Citation:
PMID:  9683704     Owner:  NLM     Status:  MEDLINE    
Wernicke's encephalopathy is an uncommon disorder caused by a thiamine deficiency which is clinically characterized by the triad of ophthalmoplegia, ataxia and disturbances of consciousness, each finding being variably present. The disease is caused by malnutrition or malabsorption, and is often associated with prolonged alcohol intake, neoplasm and extensive inflammatory processes of the digestive tract and parenteral hyperalimentation-induced gastrointestinal mucosal atrophy. Clinical diagnosis can be elusive and MRI may be the only imaging technique able to detect the cerebral lesions, whose type and distribution are characteristic of the Wernicke's encephalopathy, whereas CT is positive only in exceptional cases. We report a case of a 56-year-old woman who developed a Wernicke's encephalopathy 1 month after a colonic resection with signal intensity changes located in the mammillary bodies and in the medial thalamic nuclei.
L Pagnan; G Berlot; R S Pozzi-Mucelli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European radiology     Volume:  8     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  1998  
Date Detail:
Created Date:  1998-09-14     Completed Date:  1998-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  977-80     Citation Subset:  IM    
Institute of Radiology, University of Trieste, Cattinara Hospital, Strada di Fiume, I-34 149 Trieste, Italy.
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MeSH Terms
Brain / pathology
Colonic Neoplasms / complications,  surgery
Magnetic Resonance Imaging*
Middle Aged
Postoperative Care
Wernicke Encephalopathy / complications,  diagnosis*

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