Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case report
This case report highlights the rare occurrence of Wernicke encephalopathy caused by malnutrition in a depressed patient with atypical imaging findings. A 60-year-old female with depression developed a disturbance of consciousness owing to Wernicke encephalopathy. Magnetic resonance imaging showed a...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324000621 |
| _version_ | 1797267211694374912 |
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| author | Hiroyuki Tokue Rei Ishikawa Kiyohiro Oshima Yusuke Sawada Yuto Aramaki Kei Kawano Takumi Nihei Kouta Isogai Kohei Kawahara Takayuki Yokota Hiroyuki Yasui Miho Ikeya Tamaki Okabe Azusa Tokue Yoshito Tsushima |
| author_facet | Hiroyuki Tokue Rei Ishikawa Kiyohiro Oshima Yusuke Sawada Yuto Aramaki Kei Kawano Takumi Nihei Kouta Isogai Kohei Kawahara Takayuki Yokota Hiroyuki Yasui Miho Ikeya Tamaki Okabe Azusa Tokue Yoshito Tsushima |
| author_sort | Hiroyuki Tokue |
| collection | DOAJ |
| description | This case report highlights the rare occurrence of Wernicke encephalopathy caused by malnutrition in a depressed patient with atypical imaging findings. A 60-year-old female with depression developed a disturbance of consciousness owing to Wernicke encephalopathy. Magnetic resonance imaging showed abnormal signals in the thalamus and mammillary bodies around the third ventricle, cerebral aqueduct, and fourth ventricle. Abnormal signals were also present in the cerebral cortex around the central sulcus, and an intracranial hemorrhage from the thalamus was observed. Therefore, clinicians should consider Wernicke encephalopathy in the differential diagnosis of altered consciousness in depressed patients. Early assessment of nutritional status and prompt intervention are crucial in cases of prolonged depression-related malnutrition. |
| first_indexed | 2024-03-08T00:50:23Z |
| format | Article |
| id | doaj.art-d0f9a7adff2443c5b590c8c9441b50c4 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-25T01:12:59Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-d0f9a7adff2443c5b590c8c9441b50c42024-03-10T05:11:45ZengElsevierRadiology Case Reports1930-04332024-05-0119517291733Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case reportHiroyuki Tokue0Rei Ishikawa1Kiyohiro Oshima2Yusuke Sawada3Yuto Aramaki4Kei Kawano5Takumi Nihei6Kouta Isogai7Kohei Kawahara8Takayuki Yokota9Hiroyuki Yasui10Miho Ikeya11Tamaki Okabe12Azusa Tokue13Yoshito Tsushima14Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan; Corresponding author.Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, JapanDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, JapanDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, JapanDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, JapanDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, JapanDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, JapanDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, JapanDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, JapanDepartment of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, JapanDepartment of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, JapanDepartment of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, JapanDepartment of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, JapanDepartment of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, JapanDepartment of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, JapanThis case report highlights the rare occurrence of Wernicke encephalopathy caused by malnutrition in a depressed patient with atypical imaging findings. A 60-year-old female with depression developed a disturbance of consciousness owing to Wernicke encephalopathy. Magnetic resonance imaging showed abnormal signals in the thalamus and mammillary bodies around the third ventricle, cerebral aqueduct, and fourth ventricle. Abnormal signals were also present in the cerebral cortex around the central sulcus, and an intracranial hemorrhage from the thalamus was observed. Therefore, clinicians should consider Wernicke encephalopathy in the differential diagnosis of altered consciousness in depressed patients. Early assessment of nutritional status and prompt intervention are crucial in cases of prolonged depression-related malnutrition.http://www.sciencedirect.com/science/article/pii/S1930043324000621Cerebral cortexHemorrhageIntracranialWernicke encephalopathy |
| spellingShingle | Hiroyuki Tokue Rei Ishikawa Kiyohiro Oshima Yusuke Sawada Yuto Aramaki Kei Kawano Takumi Nihei Kouta Isogai Kohei Kawahara Takayuki Yokota Hiroyuki Yasui Miho Ikeya Tamaki Okabe Azusa Tokue Yoshito Tsushima Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case report Radiology Case Reports Cerebral cortex Hemorrhage Intracranial Wernicke encephalopathy |
| title | Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case report |
| title_full | Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case report |
| title_fullStr | Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case report |
| title_full_unstemmed | Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case report |
| title_short | Wernicke encephalopathy with atypical imaging findings in a depressed patient: A case report |
| title_sort | wernicke encephalopathy with atypical imaging findings in a depressed patient a case report |
| topic | Cerebral cortex Hemorrhage Intracranial Wernicke encephalopathy |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324000621 |
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