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韦尼克脑病:(磁共振成像)一图胜千言。

Wernicke encephalopathy: (MRI) picture worth a thousand words.

作者信息

Jan Kalimullah

机构信息

Department of Medicine, Changi General Hospital, Singapore.

出版信息

Oxf Med Case Reports. 2018 May 22;2018(5):omy013. doi: 10.1093/omcr/omy013. eCollection 2018 May.

DOI:10.1093/omcr/omy013
PMID:29868178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5965079/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/f5893f3d2abc/omy013f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/0ec93a497017/omy013f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/bf810ba1a23a/omy013f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/903a5d99da38/omy013f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/f5893f3d2abc/omy013f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/0ec93a497017/omy013f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/bf810ba1a23a/omy013f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/903a5d99da38/omy013f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c532/5965079/f5893f3d2abc/omy013f04.jpg

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AJNR Am J Neuroradiol. 2009 Jan;30(1):171-6. doi: 10.3174/ajnr.A1280. Epub 2008 Oct 22.
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Atypical neuroleptic malignant syndrome and non-alcoholic Wernicke's encephalopathy.非典型神经阻滞剂恶性综合征和非酒精性 Wernicke 脑病。
BMJ Case Rep. 2021 Aug 5;14(8):e244082. doi: 10.1136/bcr-2021-244082.
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