A case of Wernicke’s encephalopathy with atypical manifestation at MR imaging

Lee, Seong Suk; Choi, Gukmyung; Yi, Chin A; Her, Kyu-Hee; Hong, Jung Yun; Huh, Jung-Sik

doi:2003.1.1.73

J Med Life Sci > Volume 1(1); 2003 > Article

Case Report

Journal of Medicine and Life Science 2003;1(1):73-76.
DOI: https://doi.org/10.22730/jmls.2003.1.1.73 Published online December 31, 2003.

뇌 자기공명영상에서 비전형적 병변을 보인 베르니케 뇌병증 1례

이성숙¹, 최국명¹, 이진아¹, 허규희², 홍정연³, 허정식⁴

¹제주대학교 의과대학 진단방사선학교실
²제주대학교 의과대학 외과학교실
³제주대학교 의과대학 소아과 학교실
⁴제주대학교 의과대학 비뇨기과 학교실

A case of Wernicke’s encephalopathy with atypical manifestation at MR imaging

Seong Suk Lee¹, Gukmyung Choi¹, Chin A Yi¹, Kyu-Hee Her², Jung Yun Hong³, Jung-Sik Huh⁴

¹Departments of Diagnostic Radiology, College of Medicine, Cheju National University, Jeju 690-756, Korea
²Departments of Surgery, College of Medicine, Cheju National University, Jeju 690-756, Korea
³Departments of Pediatrics, College of Medicine, Cheju National University, Jeju 690-756, Korea
⁴Departments of Urology, College of Medicine, Cheju National University, Jeju 690-756, Korea

Correspondence: Gukmyung Choi, Email: choigm@cheju.ac.kr

Abstract

We report a case of atypical manifestation of Wernicke's encephalopathy in a 74-year-old non-alcoholic woman. T2-weighted images demonstrated symmetrical distribution of hyperintense lesions in cerebellar dentate nuclei, tegmentum of the lower pons, red nuclei, tectum of the mid brain, medial thalami, and splenium of the corpus callosum. The hyperintense lesions except corpus callosum were markedly resolved on follow-up MR images.

Key Words: Brain MR. Brain, Wernicke's encephalopathy.