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ARTICLE

Wernicke's Encephalopathy: Atypical Manifestation at MR Imaging

Sang-Jin Baea, Ho Kyu Leea, Jae-Hong Leea, Choong Gon Choia and Dae Chul Suha

a From the Departments of Radiology (S.-J.B., H.K.L., C.G.C., D.C.S.) and Neurology (J-H.L.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Summary: We report a case of atypical manifestation of hyperintense lesions in a 64-year-old female patient with Wernicke's encephalopathy. Fluid-attenuated inversion recovery and T2-weighted images demonstrated symmetrical distribution of hyperintense lesions in cerebellar dentate nuclei, tegmentum of the lower pons, red nuclei, and tectum of the midbrain, and T1-weighted sagittal images showed atrophy of the mamillary bodies. The hyperintense lesions were completely resolved on follow-up MR images.




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