We report a case of Wernicke’s encephalopathy in a patient with nasopharyngeal carcinoma with a 3-month history of poor oral intake related to nausea and vomiting due to chemotherapy. The patient later developed deep coma while receiving in-patient therapy. Magnetic resonance imaging of the brain revealed typical findings of Wernicke’s encephalopathy. The patient was treated with thiamine injections, which resulted in subsequent partial recovery of neurological function. This paper stresses the importance of magnetic resonance imaging for prompt diagnosis of Wernicke’s encephalopathy.

Tuberculosis (TB) is still an endemic disease in Malaysia.Cystic lung disease in post primary tuberculosis is notcommon. It can occur before, during or after completion ofanti-TB treatment. Clinical history and review of serial chestradiograph is paramount to make the diagnosis. This casereport highlights an interesting case of a young femalepatient who developed extensive cystic lung disease duringthe course of anti-TB treatment and the importance ofrecognizing this unusual manifestation.

A 6 year-old girl presented with a midline parietal scalp swelling that had been gradually enlarging since birth. Magnetic resonance imaging revealed communication of the cyst with the subarachnoid space through a calvarial defect, with concomitant findings of vertically positioned straight venous sinus and subependymal grey matter heterotopia. A diagnosis of atretic cephalocele was thus made based on these classical imaging findings.

Fat embolism to the lungs and brain is an uncommon complication following fractures. Few reports with descriptions of computed tomographic (CT) findings of emboli to the brain or cerebral fat embolism are available. We report a case of cerebral fat embolism following multiple skeletal fractures and present its CT findings here.
Accidents, Traffic ; Embolism, Fat ; diagnosis ; diagnostic imaging ; Femoral Fractures ; complications ; diagnostic imaging ; Humans ; Intracranial Embolism ; diagnosis ; diagnostic imaging ; Male ; Radiography, Thoracic ; Tomography, X-Ray Computed ; Treatment Outcome ; Young Adult