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CESARE GAGLIARDO

Non-alcoholic Wernicke's encephalopathy: From MRI findings of a case to differential diagnosis checklist

  • Autori: Gagliardo, Cesare*; La Tona, Giuseppe; Arculeo, Simona; Barone, Fabio; Salvaggio, Giuseppe; Pappalardo, Maria Pia; Cannizzaro, Carla; Lagalla, Roberto
  • Anno di pubblicazione: 2018
  • Tipologia: Articolo in rivista (Articolo in rivista)
  • OA Link: http://hdl.handle.net/10447/291514

Abstract

Wernicke's encephalopathy is a serious neurological disorder secondary to thiamine deficiency in alcoholics. However, rarely it affects non-alcoholics. Here we present a case of Wernicke's encephalopathy in a non-alcoholic 56-year-old female, treated by endoscopic surgery for a duodenal ulcer two years before. She came to our attention for a sudden onset of a neurological syndrome characterized by visual deficits, diplopia, confusion, spatial disorientation and loss of short-term memory. An MRI scan showed the typical MRI findings of Wernicke's encephalopathy, which are discussed together with the possible differential diagnosis.