Wernicke's Encephalopathy Mimicking Acute Onset Stroke Diagnosed by CT Perfusion
Joint Authors
Bhan, Alok
Kurz, Martin W.
Kurz, Kathinka D.
Farbu, Elisabeth
Advani, Rajiv
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-23
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Metabolic syndromes such as Wernicke’s encephalopathy may present with a sudden neurological deficit, thus mimicking acute onset stroke.
Due to current emphasis on rapid admission and treatment of acute stroke patients, there is a significant risk that these stroke mimics may end up being treated with thrombolysis.
Rigorous clinical and radiological skills are necessary to correctly identify such metabolic stroke mimics, in order to avoid doing any harm to these patients due to the unnecessary use of thrombolysis.
Patient.
A 51-year-old Caucasian male was admitted to our hospital with suspicion of an acute stroke due to sudden onset dysarthria and unilateral facial nerve paresis.
Clinical examination revealed confusion and dysconjugate gaze.
Computed tomography (CT) including a CT perfusion (CTP) scan revealed bilateral thalamic hyperperfusion.
The use of both clinical and radiological findings led to correctly diagnosing Wernicke’s encephalopathy.
Conclusion.
The application of CTP as a standard diagnostic tool in acute stroke patients can improve the detection of stroke mimics caused by metabolic syndromes as shown in our case report.
American Psychological Association (APA)
Bhan, Alok& Advani, Rajiv& Kurz, Kathinka D.& Farbu, Elisabeth& Kurz, Martin W.. 2014. Wernicke's Encephalopathy Mimicking Acute Onset Stroke Diagnosed by CT Perfusion. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-489382
Modern Language Association (MLA)
Bhan, Alok…[et al.]. Wernicke's Encephalopathy Mimicking Acute Onset Stroke Diagnosed by CT Perfusion. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-489382
American Medical Association (AMA)
Bhan, Alok& Advani, Rajiv& Kurz, Kathinka D.& Farbu, Elisabeth& Kurz, Martin W.. Wernicke's Encephalopathy Mimicking Acute Onset Stroke Diagnosed by CT Perfusion. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-489382
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-489382