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Case No. 718
2025-04-01~2025-04-30
출제자 : 임영희
Hit : 632
| Period | 2025-04-01~2025-04-30 |
|---|---|
| Diagnosis | Wernicke’s encephalopathy |
| Gender |
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| Age | 66 |
| Clinical information | 66/Male Altered mentality |
| Discussion | FLAIR hyperintensities in both medial thalamus, tectum of brainstem, periaqueductal area of midbrain, and both mamillary bodies. Wernicke’s encephalopathy Wernecke encephalopathy T2/FLAIR: symmetrically increased signal intensity in mammillary bodies, dorsomedial thalami, tectal plate, periaqueductal grey matter around the third ventricle, cerebral cortex. T1 CE; contrast enhancement can be seen in the same regions, most commonly in mammillary bodies. DWI/ADC; diffusion restriction can be seen in the same regions. SWI; petechial hemorrhage may seen in mammillary bodies. Reference Zuccoli G, Pipitone N. Neuroimaging findings in acute Wernicke's encephalopathy: review of the literature. AJR Am J Roentgenol. 2009;192 (2): 501-8. Diagnostic Imaging: Brain, 4th Edition - November 20, 2020, Author: Miral D. Jhaveri |
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