대뇌피질을 광범위하게 침범한 비알코올성 베르니케뇌병증
Nonalcoholic Wernicke’s Encephalopathy With Diffuse Cortical Involvement
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초록
Wernicke’s encephalopathy is an acute neurological deterioration due to a reversible brain lesion caused by thiamine deficiency. Most of the affected patients are thiamine-depleted alcoholics, and the condition usually involves the medial thalami, mammillary bodies, and periaqueductal area. However, there are rare reports of lesions in the cerebellum and cerebral cortex, especially in patients with nonalcoholic Wernicke’s encephalopathy. We report a case of nonalcoholic Wernicke’s encephalopathy involving atypical diffuse cortical regions, and review previously reported cases.
Abstract
Wernicke’s encephalopathy is an acute neurological deterioration due to a reversible brain lesion caused by thiamine deficiency. Most of the affected patients are thiamine-depleted alcoholics, and the condition usually involves the medial thalami, mammillary bodies, and periaqueductal area. However, there are rare reports of lesions in the cerebellum and cerebral cortex, especially in patients with nonalcoholic Wernicke’s encephalopathy. We report a case of nonalcoholic Wernicke’s encephalopathy involving atypical diffuse cortical regions, and review previously reported cases.
참고문헌 (10)
- Sechi G, "Wernicke's encephalopathy: new clinical settings and recent advances in diagnosis and management", Lancet Neurol, 6, pp.442~455 (2007)
- Zuccoli G, "MR imaging findings in 56 patients with Wernicke encephalopathy:nonalcoholics may differ from alcoholics", AJNR Am J Neuroradiol, 30, pp.171~176 (2009)
- Zhong C, "MR imaging of nonalcoholic Wernicke encephalopathy:a follow-up study", AJNR Am J Neuroradiol, 26, pp.2301~2305 (2005)
- Sakurai K, "Wernicke's encephalopathy with cortical abnormalities: clinicoradiological features:report of 3 new cases and review of the literature", Eur Neurol, 62, pp.274~280 (2009)
- Liu YT, "Correlation of magnetic resonance images with neuropathology in acute Wernicke's encephalopathy", Clin Neurol Neurosurg, 108, pp.682~687 (2006)
- Pereira DB, "Nonalcoholic Wernicke encephalopathy with extensive cortical involvement: cortical laminar necrosis and hemorrhage demonstrated with susceptibility-weighted MR phase images", AJNR Am J Neuroradiol, 32, pp.E37~E38 (2011)
- D'Aprile P, "Wernicke's encephalopathy induced by total parenteral nutrition in patient with acute leukaemia:unusual involvement of caudate nuclei and cerebral cortex on MRI", Neuroradiology, 42, pp.781~783 (2000)
- Sugai A, "Atypical MRI findings of Wernicke encephalopathy in alcoholic patients", AJR Am J Roentgenol, 195, pp.W372~W373 (2010)
- 한민수, "가역적인 대뇌피질 변화를 동반한 베르니케뇌병증", 대한신경과학회지, 31(2), pp.131~133 (2013), 대한신경과학회
- 손승남, "광범위하게 피질을 침범한 알코올성 베르니케뇌병증", 대한신경과학회지, 30(4), pp.381~382 (2012), 대한신경과학회