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Case No. 242
2011-06-01~2011-06-30
출제자 : 이영흔
Hit : 378
| Period | 2011-06-01~2011-06-30 |
|---|---|
| Diagnosis | |
| Clinical information | M/64 C.C: disorientation 치료전(상좌, 상우) 치료후(하좌, 하우) |
| Discussion | 정답: Wernicke encephalopathy DWI에서 both medial thalamus, periaqueductal region에서 high SI--> Thiamine IV infusion support후 사라짐. 해설 Neurologic disorder caused by thiamine deficiency Clinical features: ataxia, hypomnesia, and global confusion Mostly background of alcohol abuse Pathology during acute phase variable degrees of necrosis, vascular proliferation, astroglial and microglial proliferation, and petechial hemorrhages in the medial thalami, mammillary bodies, periaqueduct, floor of the fourth ventricle, and superior vermis MR imaging findings FLAIR/ T2WI: increased SI in periaqueduct area and bilateral medial thalami atrophy of the mammillary bodies and cerebellar vermis |
| Correct answer |
Correct AnswerSemi-Correct Answer |