Starvation-induced Wernicke encephalopathy

Case contributed by Dr Ashutosh Gandhi

Presentation

Abnormal behaviour

Patient Data

Age: Adult
Gender: Female
MRI

MRI Brain

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.

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Case information

rID: 19865
Published: 18th Oct 2012
Last edited: 23rd Mar 2019
Inclusion in quiz mode: Included

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