Non-alcoholic Wernicke's encephalopathy: From MRI findings of a case to differential diagnosis checklist

Roberto Lagalla, Giuseppe La Tona, Carla Cannizzaro, Cesare Gagliardo, Maria Pia Pappalardo, Fabio Barone, Giuseppe Salvaggio

Research output: Contribution to journalArticle

Abstract

Wernicke's encephalopathy is a serious neurological disorder secondary to thiamine deficiency in alcoholics. However, rarely it affects non-alcoholics. Here we present a case of Wernicke's encephalopathy in a non-alcoholic 56-year-old female, treated by endoscopic surgery for a duodenal ulcer two years before. She came to our attention for a sudden onset of a neurological syndrome characterized by visual deficits, diplopia, confusion, spatial disorientation and loss of short-term memory. An MRI scan showed the typical MRI findings of Wernicke's encephalopathy, which are discussed together with the possible differential diagnosis.
Original languageEnglish
Pages (from-to)334-341
Number of pages8
JournalGAZZETTA MEDICA ITALIANA. ARCHIVIO PER LE SCIENZE MEDICHE
Volume177
Publication statusPublished - 2018

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Wernicke Encephalopathy
Checklist
Confusion
Differential Diagnosis
Thiamine Deficiency
Diplopia
Alcoholics
Duodenal Ulcer
Nervous System Diseases
Short-Term Memory
Magnetic Resonance Imaging

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Non-alcoholic Wernicke's encephalopathy: From MRI findings of a case to differential diagnosis checklist",
abstract = "Wernicke's encephalopathy is a serious neurological disorder secondary to thiamine deficiency in alcoholics. However, rarely it affects non-alcoholics. Here we present a case of Wernicke's encephalopathy in a non-alcoholic 56-year-old female, treated by endoscopic surgery for a duodenal ulcer two years before. She came to our attention for a sudden onset of a neurological syndrome characterized by visual deficits, diplopia, confusion, spatial disorientation and loss of short-term memory. An MRI scan showed the typical MRI findings of Wernicke's encephalopathy, which are discussed together with the possible differential diagnosis.",
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T1 - Non-alcoholic Wernicke's encephalopathy: From MRI findings of a case to differential diagnosis checklist

AU - Lagalla, Roberto

AU - La Tona, Giuseppe

AU - Cannizzaro, Carla

AU - Gagliardo, Cesare

AU - Pappalardo, Maria Pia

AU - Barone, Fabio

AU - Salvaggio, Giuseppe

PY - 2018

Y1 - 2018

N2 - Wernicke's encephalopathy is a serious neurological disorder secondary to thiamine deficiency in alcoholics. However, rarely it affects non-alcoholics. Here we present a case of Wernicke's encephalopathy in a non-alcoholic 56-year-old female, treated by endoscopic surgery for a duodenal ulcer two years before. She came to our attention for a sudden onset of a neurological syndrome characterized by visual deficits, diplopia, confusion, spatial disorientation and loss of short-term memory. An MRI scan showed the typical MRI findings of Wernicke's encephalopathy, which are discussed together with the possible differential diagnosis.

AB - Wernicke's encephalopathy is a serious neurological disorder secondary to thiamine deficiency in alcoholics. However, rarely it affects non-alcoholics. Here we present a case of Wernicke's encephalopathy in a non-alcoholic 56-year-old female, treated by endoscopic surgery for a duodenal ulcer two years before. She came to our attention for a sudden onset of a neurological syndrome characterized by visual deficits, diplopia, confusion, spatial disorientation and loss of short-term memory. An MRI scan showed the typical MRI findings of Wernicke's encephalopathy, which are discussed together with the possible differential diagnosis.

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JO - Gazzetta Medica Italiana Archivio per le Scienze Mediche

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