Wernicke’s encephalopathy: MRI features

Evidence-based neurology checklist on wernicke’s encephalopathy: mri features: Typical location of lesions Medial thalami Periventricular region Periaqueductal area Mammillary bodies Tectal plate Unusual location of lesions in non-alcoholics Diffusion weighted imaging (DWI) changes: locations…

Typical location of lesions

  • Medial thalami
  • Periventricular region
  • Periaqueductal area
  • Mammillary bodies
  • Tectal plate

Unusual location of lesions in non-alcoholics

Diffusion weighted imaging (DWI) changes: locations

Other MRI features

References

  1. Galvin R, Brathen G, Ivashynka A, Hillbom M, Tanasescu R, Leone MA. EFNS guidelines for diagnosis, therapy and prevention of Wernicke encephalopathy. Eur J Neurol 2010; 17:1408-1418.
  2. Zuccoli G, Santa Cruz D, Bertolini M, Rovira A, Gallucci M, Carollo C, Pipitone N. MR imaging findings in 56 patients with Wernicke encephalopathy: nonalcoholics may differ from alcoholics. Am J Neuroradiol 2009; 30:171-176. 
  3. Doherty MJ, Watson NF, Uchino K, Hallam DK, Cramer SC. Diffusion abnormalities in patients with Wernicke encephalopathy. Neurology 2002; 58:655-657.
  4. Pereira DB, Pereira ML, Gasparetto EL. Nonalcoholic Wernicke encephalopathy with extensive cortical involvement: cortical laminar necrosis and hemorrhage demonstrated with susceptibility-weighted MR phase images. Am J Neuroradiol 2011; 32:E37-E38.
  5. Eren OE, Schöberl F, Campana M, Habs M, Conrad J. A unique MRI-pattern in alcohol-associated Wernicke encephalopathy. Acta Neurol Belg 2020; 120:1439-1441.

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