Recurrent Wernicke s Encephalopathy in a 16-Year-Old Girl with Atypical Clinical and Radiological Features
Joint Authors
Lamdhade, S.
Alroughani, Raed
Almulla, A.
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-482591