Presentation
Abnormal behavior
Patient Data
Age: Adult
Gender: Female
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Hyperintense signals in the bilateral medial thalami and periventricular regions of third ventricle on FLAIR images, consistent with Wernicke encephalopathy.
Case Discussion
Definite history of fasting for more than a month (religious Hindu festival fasting). Wernicke encephalopathy is due to thiamine (vitamin B1) deficiency.