Presentation
Acute confusional state, severe vomiting and visual disturbances in pregnant patient (12 weeks)
Patient Data
Age: 25 years
Gender: Female
From the case:
Wernicke encephalopathy following hyperemesis gravidarum
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Axial T1
Bilateral symmetrical low T1, high T2 and FLAIR signal intensity with restricted diffusion of the medial vestibular nuclei, prepositus hypoglossal nuclei, periaqueductal area, tectum of the midbrain, mammillary bodies, and medial thalami.
Case Discussion
MRI features of Wernicke encephalopathy (Wernicke-Korsakoff syndrome)
Wernicke encephalopathy is due to vitamin B1 (thiamine) deficiency. The treatment should include high-dose parenteral thiamine.
Additional contributor: Dr R Bouguelaa, MD
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