Acute onset of confusion, ataxia and unusual behavior. Chronic alcoholic.
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Bilateral symmetrical T2/FLAIR hyperintensity is seen involving bilateral thalami, around third ventricle, periaqueductal location, tectum, and mamillary bodies. No diffusion restriction seen.
Extensive motion artifacts noted in coronal and sagittal T2 images.
Classic clinical and imaging features of Wernicke encephalopathy.