Magnetic resonance imaging as a diagnostic adjunct to Wernicke encephalopathy in the ED

This report describes usefulness of magnetic resonance imaging (MRI) for the evaluation of the patient suspected of Wernicke encephalopathy (WE). Magnetic resonance imaging shows characteristic findings of symmetric hyperintense lesions predominantly located in the bilateral medial thalami, the peri...

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Bibliographic Details
Published in:The American journal of emergency medicine 2003-10, Vol.21 (6), p.497-502
Main Authors: Chung, Sung Pil, Kim, Seung Whan, Yoo, In Sool, Lim, Yong Su, Lee, Gun
Format: Article
Language:English
Subjects:
Adult
Aged
Alcoholism
Ataxia
Biological and medical sciences
Blood pressure
Cytotoxicity
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Emergency medical care
Emergency Medical Services - methods
Emergency Service, Hospital
Female
Heart rate
Humans
Magnetic Resonance Imaging
Male
Medical diagnosis
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Thiamine - therapeutic use
Tomography, X-Ray Computed
Tropical medicine
Wernicke encephalopathy
Wernicke Encephalopathy - diagnosis
Wernicke Encephalopathy - drug therapy
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Summary:This report describes usefulness of magnetic resonance imaging (MRI) for the evaluation of the patient suspected of Wernicke encephalopathy (WE). Magnetic resonance imaging shows characteristic findings of symmetric hyperintense lesions predominantly located in the bilateral medial thalami, the periaqueductal regions, and the mamillary bodies. The diagnosis of Wernicke encephalopathy has been based generally on history and clinical symptoms. We now believe that MRI could be used as a diagnostic adjunct in the patient suspected of WE.
ISSN:0735-6757
1532-8171
DOI:10.1016/S0735-6757(03)00094-9