Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome

We report atypical magnetic resonance imaging (MRI) lesions in a case of Wernicke encephalopathy. The patient presented with isolated anterograde amnesia following a partial colectomy complicated by peritonitis. Fluid-attenuated inversion recovery and T2 MRI sequences were normal. However, bilateral...

Descripción completa

Detalles Bibliográficos
Autores principales: Abbas, Samar A., Abboud, Halim, Chalah, Moussa A., Sabbagh, Chadi, Ayache, Samar S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262580/
https://www.ncbi.nlm.nih.gov/pubmed/30424509
http://dx.doi.org/10.3390/bs8110104
Descripción
Sumario:We report atypical magnetic resonance imaging (MRI) lesions in a case of Wernicke encephalopathy. The patient presented with isolated anterograde amnesia following a partial colectomy complicated by peritonitis. Fluid-attenuated inversion recovery and T2 MRI sequences were normal. However, bilateral contrast enhancement of mammillary bodies was shown on T1 gadolinium-enhanced sequences. Blood tests revealed thiamine deficiency. The diagnosis of Wernicke encephalopathy was made and thiamine supplementation was given, resulting in complete recovery of the memory functions.

Ejemplares similares