Jan Kalimullah
Department of Medicine, Changi General Hospital, Singapore.
Oxf Med Case Reports. 2018 May 22;2018(5):omy013. doi: 10.1093/omcr/omy013. eCollection 2018 May.
A 61-year-old gentleman, with a long-standing history of alcohol abuse presented with altered sensorium and unsteady gait for 2 weeks. A diagnosis of Wernicke encephalopathy (WE) was considered. The magnetic resonance imaging brain showed features consistent with the WE, thus supporting the diagnosis. He was treated with parenteral thiamine with good outcome.
一名61岁男性,有长期酗酒史,出现意识改变和步态不稳2周。考虑诊断为韦尼克脑病(WE)。脑部磁共振成像显示与WE相符的特征,从而支持该诊断。他接受了肠胃外注射硫胺素治疗,效果良好。