DOI QR코드

DOI QR Code

Wernicke's Encephalopathy with Intracranial Hemorrhage

  • Jeon, Sunghee (Department of Radiology, Seoul Veterans Hospital) ;
  • Kang, Hyunkoo (Department of Radiology, Seoul Veterans Hospital)
  • 투고 : 2016.02.22
  • 심사 : 2016.03.21
  • 발행 : 2016.03.30

초록

Wernicke's encephalopathy (WE) is an acute neurological disorder resulting from thiamine deficiency. Early diagnosis and treatment of WE is important to avoid persistent brain damage. Although histopathologic examination usually demonstrates pin-point hemorrhages in affected brain parenchyma, secondary hemorrhage is a rare but serious complication of WE. We experienced a rare case of intracranial hemorrhage related to WE in a 56-year-old male patient with malnourishment.

키워드

참고문헌

  1. Reuler JB, Girard DE, Cooney TG. Current concepts. Wernicke's encephalopathy. N Engl J Med 1985;312:1035-1039 https://doi.org/10.1056/NEJM198504183121606
  2. Thomson AD, Cook CC, Guerrini I, Sheedy D, Harper C, Marshall EJ. Wernicke's encephalopathy revisited. Translation of the case history section of the original manuscript by Carl Wernicke 'Lehrbuch der Gehirnkrankheiten fur Aerzte and Studirende' (1881) with a commentary. Alcohol Alcohol 2008;43:174-179 https://doi.org/10.1093/alcalc/agm144
  3. Graham DI. International Society of Neuropathology Outreach Program. Brain Pathol 2002;12:260-262
  4. Helbok R, Beer R, Engelhardt K, et al. Intracerebral haemorrhage in a malnourished patient, related to Wernicke's encephalopathy. Eur J Neurol 2008;15:e99-100 https://doi.org/10.1111/j.1468-1331.2008.02302.x
  5. Sechi G, Serra A. Wernicke's encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol 2007;6:442-455 https://doi.org/10.1016/S1474-4422(07)70104-7
  6. Harrison RA, Vu T, Hunter AJ. Wernicke's encephalopathy in a patient with schizophrenia. J Gen Intern Med 2006;21:C8-C11
  7. Pfister HW, von Rosen F, Bise K. Severe intraventricular haemorrhage shown by computed tomography as an unusual manifestation of Wernicke's encephalopathy. J Neurol Neurosurg Psychiatry 1995;59:555-556
  8. Rosenblum WI, Feigin I. The hemorrhagic component of Wernicke's encephalopathy. Arch Neurol 1965;13:627-632 https://doi.org/10.1001/archneur.1965.00470060063006