Diffusion-Weighted MR Imaging in Acute Wernicke's Encephalopathy Associated with Pseudomembranous Colitis: A Case Report and Review of the Literature.
10.3348/jkrs.2006.54.6.453
- Author:
Hyeon YU
1
;
Yong Chul LEE
;
Tai Hwan PARK
;
Seung Min YOO
;
Hwa Yeon LEE
;
In Sup SONG
;
Jong Beum LEE
;
Kun Sang KIM
Author Information
1. Department of Radiology, Chung-Ang University Medical Center, Korea. hyeonyu@cau.ac.kr
- Publication Type:Case Report
- Keywords:
Brain, diseases;
Magnetic resonance (MR) imaging;
Magnetic resonance (MR) diffusion study
- MeSH:
Alcoholics;
Diagnosis;
Enterocolitis, Pseudomembranous*;
Follow-Up Studies;
Humans;
Magnetic Resonance Imaging*;
Nervous System Diseases;
Parenteral Nutrition, Total;
Thiamine Deficiency;
Wernicke Encephalopathy*
- From:Journal of the Korean Radiological Society
2006;54(6):453-458
- CountryRepublic of Korea
- Language:English
-
Abstract:
Wernicke's encephalopathy is a common complication of thiamine deficiency among chronic alcoholics. However, there have been few reports about MR imaging findings, including the diffusion-weighted changes of this neurologic disorder, in nonalcoholic patients. We present here a rare case of acute Wernicke's encephalopathy that developed in a patient who received prolonged total parenteral nutrition for his pseudomembranous colitis. The MR imaging, including the diffusion-weighted imaging, was performed at the onset of disease and during follow-up. The diagnosis was made by the characteristic MR imaging findings and it was supported by the clinical features. The initial and follow-up MR imaging findings with diffusion-weighted imaging changes are described and correlated with the clinical status.
