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

被引:37
作者
Chung, SP
Kim, SW
Yoo, IS
Lim, YS
Lee, G
机构
[1] Chungnam Natl Univ Hosp, Dept Emergency Med, Taejon 301721, South Korea
[2] Ghil Med Ctr, Dept Emergency Med, Gachon Med Sch, Inchon, South Korea
关键词
Wernicke encephalopathy; magnetic resonance; imaging;
D O I
10.1016/S0735-6757(03)00094-9
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
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. (C) 2003 Elsevier Inc. All rights reserved.
引用
收藏
页码:497 / 502
页数:6
相关论文
共 18 条
[1]   Usefulness of CT and MR imaging in the diagnosis of acute Wernicke's encephalopathy [J].
Antunez, E ;
Estruch, R ;
Cardenal, C ;
Nicolas, JM ;
Fernandez-Sola, J ;
Urbano-Marquez, A .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 171 (04) :1131-1137
[2]   Diffusion-weighted Imaging abnormalities in Wernicke encephalopathy - Reversible cytotoxic edema? [J].
Chu, K ;
Kang, DW ;
Kim, HJ ;
Lee, YS ;
Park, SH .
ARCHIVES OF NEUROLOGY, 2002, 59 (01) :123-127
[3]   Wernicke's encephalopathy induced by total parenteral nutrition in patient with acute leukaemia: unusual involvement of caudate nuclei and cerebral cortex on MRI [J].
D'Aprile, P ;
Tarantino, A ;
Santoro, N ;
Carella, A .
NEURORADIOLOGY, 2000, 42 (10) :781-783
[4]   Diffusion abnormalities in patients with Wernicke encephalopathy [J].
Doherty, MJ ;
Watson, NF ;
Uchino, K ;
Hallam, DK ;
Cramer, SC .
NEUROLOGY, 2002, 58 (04) :655-657
[5]  
DONNAL JF, 1990, AM J NEURORADIOL, V11, P893
[6]   MR IMAGING OF WHITE MATTER LESIONS IN UNCOMPLICATED CHRONIC-ALCOHOLISM [J].
GALLUCCI, M ;
AMICARELLI, I ;
ROSSI, A ;
STRATTA, P ;
MASCIOCCHI, C ;
ZOBEL, BB ;
CASACCHIA, M ;
PASSARIELLO, R .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1989, 13 (03) :395-398
[7]  
GALLUCCI M, 1990, AM J NEURORADIOL, V11, P887
[8]   WERNICKES ENCEPHALOPATHY - MORE COMMON DISEASE THAN REALIZED - NEUROPATHOLOGICAL STUDY OF 51 CASES [J].
HARPER, C .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1979, 42 (03) :226-231
[9]   THE PREVALENCE OF THE WERNICKE-KORSAKOFF SYNDROME IN SYDNEY, AUSTRALIA - A PROSPECTIVE NECROPSY STUDY [J].
HARPER, C ;
GOLD, J ;
RODRIGUEZ, M ;
PERDICES, M .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1989, 52 (02) :282-285