Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case report

Autor: Hiroyuki Tokue, Rei Ishikawa, Kiyohiro Oshima, Yusuke Sawada, Yuto Aramaki, Kei Kawano, Takumi Nihei, Kouta Isogai, Kohei Kawahara, Takayuki Yokota, Hiroyuki Yasui, Miho Ikeya, Tamaki Okabe, Azusa Tokue, Yoshito Tsushima
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Radiology Case Reports, Vol 19, Iss 5, Pp 1729-1733 (2024)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2024.01.063
Popis: This case report highlights the rare occurrence of Wernicke encephalopathy caused by malnutrition in a depressed patient with atypical imaging findings. A 60-year-old female with depression developed a disturbance of consciousness owing to Wernicke encephalopathy. Magnetic resonance imaging showed abnormal signals in the thalamus and mammillary bodies around the third ventricle, cerebral aqueduct, and fourth ventricle. Abnormal signals were also present in the cerebral cortex around the central sulcus, and an intracranial hemorrhage from the thalamus was observed. Therefore, clinicians should consider Wernicke encephalopathy in the differential diagnosis of altered consciousness in depressed patients. Early assessment of nutritional status and prompt intervention are crucial in cases of prolonged depression-related malnutrition.
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