Starvation-induced Wernicke encephalopathy

Case contributed by Ashutosh Gandhi


Abnormal behavior

Patient Data

Age: Adult
Gender: Female

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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