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...

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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
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author Abbas, Samar A.
Abboud, Halim
Chalah, Moussa A.
Sabbagh, Chadi
Ayache, Samar S.
author_facet Abbas, Samar A.
Abboud, Halim
Chalah, Moussa A.
Sabbagh, Chadi
Ayache, Samar S.
author_sort Abbas, Samar A.
collection PubMed
description 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.
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spelling pubmed-62625802018-11-29 Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome Abbas, Samar A. Abboud, Halim Chalah, Moussa A. Sabbagh, Chadi Ayache, Samar S. Behav Sci (Basel) Case Report 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. MDPI 2018-11-12 /pmc/articles/PMC6262580/ /pubmed/30424509 http://dx.doi.org/10.3390/bs8110104 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Abbas, Samar A.
Abboud, Halim
Chalah, Moussa A.
Sabbagh, Chadi
Ayache, Samar S.
Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome
title Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome
title_full Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome
title_fullStr Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome
title_full_unstemmed Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome
title_short Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome
title_sort isolated mammillary bodies damage—an atypical presentation of wernicke syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262580/
https://www.ncbi.nlm.nih.gov/pubmed/30424509
http://dx.doi.org/10.3390/bs8110104
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