Emre Ufuk, Erdal Yüksel, Söylemez Cansu, KaragöZ Yeşim, Mahmutoğlu Abdullah Soydan
Istanbul Training and Research Hospital, Neurology Department, Istanbul, Turkey.
Istanbul Training and Research Hospital, Radiology Department, Istanbul, Turkey.
Noro Psikiyatr Ars. 2019 Aug 16;57(2):165-168. doi: 10.29399/npa.22854. eCollection 2020 Jun.
Wernicke encephalopathy is a neurological disorder, clasically characterized by altered consciousness, ophtalmoparesis, and ataxia results from tiamin deficiency. It is frequently associated with chronic alcohol abuse; however, many conditions which lead to thiamine deficiency such as gastric surgery, hyperemesis, parenteral nutrition, malnutrition may also be the cause. WE is a life-threatening condition that requires early diagnosis and rapid initiation of intravenous thiamin therapy. In patients, findings of characteristic examinations may not always be seen; therefore, imaging methods are of great importance. In this article, we aimed to emphasize the similar and different aspects of three WE cases with typical and atypical imaging findings.
韦尼克脑病是一种神经障碍,典型表现为意识改变、眼球运动障碍和共济失调,由硫胺素缺乏引起。它常与慢性酒精滥用有关;然而,许多导致硫胺素缺乏的情况,如胃部手术、妊娠剧吐、肠外营养、营养不良等也可能是病因。韦尼克脑病是一种危及生命的疾病,需要早期诊断并迅速开始静脉注射硫胺素治疗。在患者中,特征性检查结果并非总能见到;因此,影像学方法非常重要。在本文中,我们旨在强调三例具有典型和非典型影像学表现的韦尼克脑病病例的异同点。