Wernicke's encephalopathy: report of a case
Chotmongkol, V.; Limpawattana, P.
Journal of the Medical Association of Thailand 88(6): 855-858
2005
ISSN/ISBN: 0125-2208 PMID: 16083230 Document Number: 2601
A case of Wernicke encephalopathy is reported. A 53-year-old alcoholic man was presented with acute confusion, upward gaze palsy of the left eye and gait ataxia for 5 days. The typical findings upon MRI of the brain showed multiple, scattered, small non-enhanced low signal intensity on T1W1, high signal intensity on T2W1 involving at bilateral basal ganglias, and thalami, midbrain, pons, and periventricular regions with evidence of atrophic changes of brain and the mamillary bodies. After treatment with intravenous thiamine 100 mg/day, the left upward gaze palsy was fully recovered at the 81 day of treatment. The mental status and gait ataxia gradually improved.
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