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Wernicke encephalopathy: MR findings in two patients

  • Neuroradiology
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Abstract.

Wernicke encephalopathy is a serious neurologic disorder caused by vitamin-B1 or thiamine deficiency. In the literature the characteristic symmetric paraventricular lesions of Wernicke encephalopathy are hyperintense on T2-weighted sequences spin-echo (SE) and enhance on T1-weighted SE sequences after intravenous gadolinium administration in the acute phase. We present two patients in the acute phase of Wernicke encephalopathy with special reference to the MR imaging. One of our reported cases is special because of the MR demonstration of a hemorrhagic focus in the caput of the right nucleus caudatus. The other case demonstrates no enhancement on SE T1-weighted sequences after intravenous gadolinium administration.

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Authors and Affiliations

  1. Department of Radiology, University Hospital, K. U. Leuven, Herestraat 49, B-3000 Leuven, Belgium, , , , , , BE

    G. Opdenakker

  2. Department of Radiology, Hospital Oost-Limburg, Schiepse Bos 6, B-3600 Genk, Belgium, , , , , , BE

    G. Gelin & Y. Palmers

  3. Department of Radiology, Hospital Middelheim, Lindendreef 1, B-2020 Antwerpen, Belgium, , , , , , BE

    D. De Surgeloose

Authors
  1. G. Opdenakker
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  2. G. Gelin
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  3. D. De Surgeloose
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  4. Y. Palmers
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Additional information

Received: 1 July 1998; Revision received: 19 January 1998; Accepted: 20 January 1998

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Opdenakker, G., Gelin, G., De Surgeloose, D. et al. Wernicke encephalopathy: MR findings in two patients. Eur Radiol 9, 1620–1624 (1999). https://doi.org/10.1007/s003300050896

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  • DOI: https://doi.org/10.1007/s003300050896

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