Magnetic resonance imaging in a case of Wernicke's encephalopathy
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 ofte...
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Veröffentlicht in: | European radiology 1998-01, Vol.8 (6), p.977-980 |
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description | 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. |
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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.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s003300050499</identifier><identifier>PMID: 9683704</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Brain - pathology ; Colectomy ; Colonic Neoplasms - complications ; Colonic Neoplasms - surgery ; Female ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Postoperative Care ; Wernicke Encephalopathy - complications ; Wernicke Encephalopathy - diagnosis</subject><ispartof>European radiology, 1998-01, Vol.8 (6), p.977-980</ispartof><rights>Springer-Verlag Berlin Heidelberg 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c315t-11899c8690bf254aaaf826c5a72754b0b40e01de82664877aaccba93f569ae073</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9683704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pagnan, L</creatorcontrib><creatorcontrib>Berlot, G</creatorcontrib><creatorcontrib>Pozzi-Mucelli, R S</creatorcontrib><title>Magnetic resonance imaging in a case of Wernicke's encephalopathy</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><description>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. 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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.</description><subject>Brain - pathology</subject><subject>Colectomy</subject><subject>Colonic Neoplasms - complications</subject><subject>Colonic Neoplasms - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Postoperative Care</subject><subject>Wernicke Encephalopathy - complications</subject><subject>Wernicke Encephalopathy - diagnosis</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpV0E1LAzEQBuAgSq3Vo0chePG0Otl8H0vxCypeFI_LbJptt7bZNdke-u-NWARPA8PDO8xLyCWDWwag7xIA5wAgQVh7RMZM8LJgYMQxGYPlptDWilNyltI6K8uEHpGRVYZrEGMyfcFl8EPraPSpCxicp-0Wl21Y0jZQpA6Tp11DP3wMrfv0N4n6jPoVbroeh9X-nJw0uEn-4jAn5P3h_m32VMxfH59n03nhOJNDwZix1hlloW5KKRCxMaVyEnWppaihFuCBLXxeKmG0RnSuRssbqSx60HxCrn9z-9h97XwaqnW3iyGfrIwRSnGlZUbFL3KxSyn6pupjfifuKwbVT13Vv7qyvzqE7uqtX_zpQz_8GzxJY2g</recordid><startdate>19980101</startdate><enddate>19980101</enddate><creator>Pagnan, L</creator><creator>Berlot, G</creator><creator>Pozzi-Mucelli, R S</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>19980101</creationdate><title>Magnetic resonance imaging in a case of Wernicke's encephalopathy</title><author>Pagnan, L ; 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subjects | Brain - pathology Colectomy Colonic Neoplasms - complications Colonic Neoplasms - surgery Female Humans Magnetic Resonance Imaging Middle Aged NMR Nuclear magnetic resonance Postoperative Care Wernicke Encephalopathy - complications Wernicke Encephalopathy - diagnosis |
title | Magnetic resonance imaging in a case of Wernicke's encephalopathy |
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