Wernicke encephalopathy

Case contributed by Dr Ahmed Abd Rabou

Presentation

Deterioration of conscious level and agitation. Patient had gastric surgery 2 months ago for peptic ulcer.

Patient Data

Age: 43 years old
Gender: Male
MRI

MRI Brain

Abnormal signal bilateral and symmetrical involving the medial and posterior aspect of both thalami displaying bright signal in DWI, T2 and FLAIR.

Case Discussion

Previous gastric sugery or Bariatric sugeries are predisposing factors to various deficiency syndromes. Thiamine deficiency causes acute encephalopathy usually affects the medial thalamus, tectal plate and periacqueductal grey matter.

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Case information

rID: 30352
Case created: 4th Aug 2014
Last edited: 14th Dec 2015
Inclusion in quiz mode: Included

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