Wernicke's Encephalopathy: a case report

Shu-Chiang Hsieh; Chih Hsing Wu; Hsiu Chen Shih; Chia-Yuen Chen; Wing P. Chan

Wernicke's Encephalopathy: a case report

貢獻的翻譯標題: Wernicke氏腦病變: 病例報告

Shu-Chiang Hsieh, Chih Hsing Wu, Hsiu Chen Shih, Chia-Yuen Chen, Wing P. Chan

研究成果: 會議貢獻類型 › 論文 › 同行評審

摘要

BACKGROUND: Wernicke's encephalopathy is a potentially reversible disorder. The usual findings at MR imaging in
patients with Wernicke's encephalopathy include high signal intensities in the medial thalami and periaqueductal
regions of the midbrain. We describe a patient with acute Wernicke encephalopathy that showed a typical location of
hyperintense lesions on fluid-attenuated inversion recovery (FLAIR) and diffusion-weighted images.
CASE REPORT: A 78-year-old non-alcoholic woman was admitted to our department because of drowsiness, chest
pain and short of breath about 4~5 days. Head CT revealed only mild brain atrophy. On MR imaging, increased T2
signal of paraventricular regions of the thalamus and periaqueductal regions of the midbrain was observed. High-dose
thiamine therapy was started. The clinical condition improved gradually.
CONCLUSION: MR imaging is useful in early detecting and confirming the diagnosis of acute Wernicke's
encephalopathy when high-dose thiamine treatment can improve the prognosis of WE.

貢獻的翻譯標題	Wernicke氏腦病變: 病例報告
原文	英語
出版狀態	已發佈 - 3月 2009
事件	THE 58TH ANNUAL MEETING OF RSROC - Taichung Veterans General Hospital, Taichung , 台灣持續時間: 3月 28 2009 → 3月 29 2009 https://www.rsroc.org.tw/annual/annualnews_detail.asp?id=6

會議

會議	THE 58TH ANNUAL MEETING OF RSROC
國家/地區	台灣
城市	Taichung
期間	3/28/09 → 3/29/09
網際網路位址	https://www.rsroc.org.tw/annual/annualnews_detail.asp?id=6

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https://www.rsroc.org.tw/DB/AnnNews/file/6-3.pdf

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@conference{5747b55c6e744ac0b628cc0cd9c0b9c6,

title = "Wernicke's Encephalopathy: a case report",

abstract = "BACKGROUND: Wernicke's encephalopathy is a potentially reversible disorder. The usual findings at MR imaging inpatients with Wernicke's encephalopathy include high signal intensities in the medial thalami and periaqueductalregions of the midbrain. We describe a patient with acute Wernicke encephalopathy that showed a typical location ofhyperintense lesions on fluid-attenuated inversion recovery (FLAIR) and diffusion-weighted images.CASE REPORT: A 78-year-old non-alcoholic woman was admitted to our department because of drowsiness, chestpain and short of breath about 4~5 days. Head CT revealed only mild brain atrophy. On MR imaging, increased T2signal of paraventricular regions of the thalamus and periaqueductal regions of the midbrain was observed. High-dosethiamine therapy was started. The clinical condition improved gradually.CONCLUSION: MR imaging is useful in early detecting and confirming the diagnosis of acute Wernicke'sencephalopathy when high-dose thiamine treatment can improve the prognosis of WE. ",

author = "Shu-Chiang Hsieh and Wu, {Chih Hsing} and Shih, {Hsiu Chen} and Chia-Yuen Chen and Chan, {Wing P.}",

year = "2009",

month = mar,

language = "English",

note = "THE 58TH ANNUAL MEETING OF RSROC ; Conference date: 28-03-2009 Through 29-03-2009",

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T1 - Wernicke's Encephalopathy

T2 - THE 58TH ANNUAL MEETING OF RSROC

AU - Hsieh, Shu-Chiang

AU - Wu, Chih Hsing

AU - Shih, Hsiu Chen

AU - Chen, Chia-Yuen

AU - Chan, Wing P.

PY - 2009/3

Y1 - 2009/3

N2 - BACKGROUND: Wernicke's encephalopathy is a potentially reversible disorder. The usual findings at MR imaging inpatients with Wernicke's encephalopathy include high signal intensities in the medial thalami and periaqueductalregions of the midbrain. We describe a patient with acute Wernicke encephalopathy that showed a typical location ofhyperintense lesions on fluid-attenuated inversion recovery (FLAIR) and diffusion-weighted images.CASE REPORT: A 78-year-old non-alcoholic woman was admitted to our department because of drowsiness, chestpain and short of breath about 4~5 days. Head CT revealed only mild brain atrophy. On MR imaging, increased T2signal of paraventricular regions of the thalamus and periaqueductal regions of the midbrain was observed. High-dosethiamine therapy was started. The clinical condition improved gradually.CONCLUSION: MR imaging is useful in early detecting and confirming the diagnosis of acute Wernicke'sencephalopathy when high-dose thiamine treatment can improve the prognosis of WE.

AB - BACKGROUND: Wernicke's encephalopathy is a potentially reversible disorder. The usual findings at MR imaging inpatients with Wernicke's encephalopathy include high signal intensities in the medial thalami and periaqueductalregions of the midbrain. We describe a patient with acute Wernicke encephalopathy that showed a typical location ofhyperintense lesions on fluid-attenuated inversion recovery (FLAIR) and diffusion-weighted images.CASE REPORT: A 78-year-old non-alcoholic woman was admitted to our department because of drowsiness, chestpain and short of breath about 4~5 days. Head CT revealed only mild brain atrophy. On MR imaging, increased T2signal of paraventricular regions of the thalamus and periaqueductal regions of the midbrain was observed. High-dosethiamine therapy was started. The clinical condition improved gradually.CONCLUSION: MR imaging is useful in early detecting and confirming the diagnosis of acute Wernicke'sencephalopathy when high-dose thiamine treatment can improve the prognosis of WE.

M3 - Paper

Y2 - 28 March 2009 through 29 March 2009

ER -

Wernicke's Encephalopathy: a case report

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