Presentation
Deterioration of conscious level and agitation. Patient had gastric surgery 2 months ago for peptic ulcer.
Patient Data
Age: 45 years
Gender: Male
Loading images...
Axial DWI
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 or bariatric surgeries are predisposing factors to various deficiency syndromes. Thiamine deficiency causes acute encephalopathy, usually affecting the medial thalamus, tectal plate and periaqueductal grey matter.
Unable to process the form. Check for errors and try again.