MRT-Bildgebung eines patienten mit Wernicke-enzephalopathie und klinisch stummer zentraler pontiner myelinolyse

Translated title of the contribution: MRI of Wernicke's encephalopathy associated with an asymptomatic type of central pontine myelinolysis

Andreas Richter, Albrecht Günther, Sascha Prothmann, Wieland Hermann, Armin Wagner, Claus Zimmer

Research output: Contribution to journalArticlepeer-review

Abstract

The case of a patient with an acute manifestation of Wernicke's encephalopathy and further development of a central pontine myelinolysis (CPM) is reported. CPM had incidentally been recognized in a follow-up MRI study without causing any clinical symptoms. The 41-year-old male patient with a 20-year history of chronic alcoholism presented with symptoms of progressive diplopic images for 2 weeks. On the basis of case history and clinical results as well as MRI, Wernicke's encephalopathy was diagnosed. The MRI follow-up after 6 weeks demonstrated a regression of the typical signal changes of the initial, investigation; additionally, however, a newly developed pontine lesion revealed a CPM. The consecutive appearance of both Wernicke's encephalopathy and an asymptomatic course of CPM suggests similar pathogenic mechanisms, particularly in chronic alcoholism. The relation of both entities and the importance of MRI for their early diagnosis will be discussed.

Translated title of the contributionMRI of Wernicke's encephalopathy associated with an asymptomatic type of central pontine myelinolysis
Original languageGerman
Pages (from-to)265-268
Number of pages4
JournalKlinische Neuroradiologie
Volume14
Issue number4
DOIs
StatePublished - Dec 2004
Externally publishedYes

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