MULTIPLE CEREBRAL METASTASES MIMICKING WERNICKE'S ENCEPHALOPATHY IN A CHRONIC ALCOHOLIC

Aims: Alcohol dependent patients in withdrawal display a wide spectrum of neurological and neuropsychological symptoms that complicate diagnosis. We report the case of a 53-year-old male alcoholic with disorientation, ataxia and nystagmus in alcohol withdrawal probably due not to initial supposed We...

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Veröffentlicht in:	Alcohol and alcoholism (Oxford) 2006-11, Vol.41 (6), p.678-680
Hauptverfasser:	YALDIZLI, OZGUR, WURST, FRIEDRICH M., EULER, SEBASTIAN, WILLI, BERENIKA, WIESBECK, GERHARD
Format:	Artikel
Sprache:	eng
Schlagworte:	Alcohol withdrawal syndrome Alcoholism Alcoholism - complications Alcoholism - diagnosis Ataxia - complications Brain Neoplasms - complications Brain Neoplasms - diagnosis Brain Neoplasms - diagnostic imaging Diagnosis, Differential Fatal Outcome Humans Male Middle Aged Neoplasm Staging Neoplasms, Multiple Primary - complications Neoplasms, Multiple Primary - diagnosis Neoplasms, Multiple Primary - diagnostic imaging Neurologic Examination Symptoms Tomography, X-Ray Computed Wernicke Encephalopathy - diagnosis
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Zusammenfassung:	Aims: Alcohol dependent patients in withdrawal display a wide spectrum of neurological and neuropsychological symptoms that complicate diagnosis. We report the case of a 53-year-old male alcoholic with disorientation, ataxia and nystagmus in alcohol withdrawal probably due not to initial supposed Wernicke's encephalopathy (WE) but rather due to multiple cerebral metastases of a non-small cell cancer of the lung. Results: The findings illustrate the importance of initially maintaining a tentative attitude toward causation of symptoms and the role of brain imaging in formulating an accurate diagnosis.
ISSN:	0735-0414 1464-3502
DOI:	10.1093/alcalc/agl054