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KERD
논문KCI 등재

양측 청력소실을 주 증상으로 나타난 베르니케뇌병증

Bilateral Hearing Loss in Wernicke Encephalopathy

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초록

Wernicke encephalopathy is a syndrome caused by thiamine deficiency whose three typical symptoms are ophthalomoplegia, ataxia, and confusion. There are also rare reports of bilateral hearing loss, which can be caused by damage to the bilateral inferior colliculus or thalamic lesions, or by energy failure of the cochlea. This case suggests that thiamine should be administered based on the possibility of Wernicke encephalopathy occurring in malnourished or alcoholic patients with sudden bilateral hearing loss.

Abstract

Wernicke encephalopathy is a syndrome caused by thiamine deficiency whose three typical symptoms are ophthalomoplegia, ataxia, and confusion. There are also rare reports of bilateral hearing loss, which can be caused by damage to the bilateral inferior colliculus or thalamic lesions, or by energy failure of the cochlea. This case suggests that thiamine should be administered based on the possibility of Wernicke encephalopathy occurring in malnourished or alcoholic patients with sudden bilateral hearing loss.

참고문헌 (10)

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  5. Zhang SQ, "Acute bilateral deafness as the first symptom of Wernicke encephalopathy", AJNR Am J Neuroradiol, 33, pp.E44~E45 (2012)[DOI]
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  9. Fei GQ, "Clinical characteristics and MR imaging features of nonalcoholic Wernicke encephalopathy", AJNR Am J Neuroradiol, 29, pp.164~169 (2008)
  10. Thomson AD, "Wernicke's encephalopathy : 'plus ca change, plus c'est la meme chose'", Alcohol Alcohol, 43, pp.180~186 (2008)

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