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Recurrent Wernicke s Encephalopathy in a 16-Year-Old Girl with Atypical Clinical and Radiological Features
المؤلفون المشاركون
Lamdhade, S.
Alroughani, Raed
Almulla, A.
المصدر
Case Reports in Neurological Medicine
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-02-10
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Wernicke’s Encephalopathy (WE) is a clinical diagnosis with serious neurological consequences.
Its occurrence is underestimated in nonalcoholics and is uncommon in adolescents.
We aim to draw the attention to a rare case, which had additional clinical and radiological features.
Case.
A 16-year-old girl presented with three-week history of vomiting secondary to intestinal obstruction.
She developed diplopia soon after hospitalization.
Neurological evaluation revealed restriction of bilateral lateral recti with horizontal nystagmus, and bilateral limb dysmetria.
Brain MRI was normal.
She had prompt improvement to thiamine.
Four months later, she presented with headache, bilateral severe deafness, and tinnitus.
Clinically, she had severe sensorineural hearing loss, bilateral lateral recti paresis, and gait ataxia.
CT head showed bilateral caudate nucleus hypodensities.
MRI brain revealed gadolinium enhancement of mamillary bodies and vermis.
She had significant improvement after IV thiamine.
Headache completely resolved while the ocular movements, hearing, and tinnitus improved partially in 72 hours.
Conclusions.
Recurrent WE in adolescence is uncommon.
Headache, tinnitus, and deafness are rare clinical features.
Although MRI study shows typical features of WE, the presence of bilateral caudate nuclei hypodensities on CT scan is uncommon.
Prompt treatment with thiamine is warranted in suspected cases to prevent permanent neurological sequelae.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lamdhade, S.& Almulla, A.& Alroughani, Raed. 2014. Recurrent Wernicke s Encephalopathy in a 16-Year-Old Girl with Atypical Clinical and Radiological Features. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-482591
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lamdhade, S.…[et al.]. Recurrent Wernicke s Encephalopathy in a 16-Year-Old Girl with Atypical Clinical and Radiological Features. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-482591
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lamdhade, S.& Almulla, A.& Alroughani, Raed. Recurrent Wernicke s Encephalopathy in a 16-Year-Old Girl with Atypical Clinical and Radiological Features. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-482591
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-482591
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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