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Behav. Sci. 2018, 8(11), 104; https://doi.org/10.3390/bs8110104

Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome

1
Department of Neurology, Hôtel-Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut 1104-2020, Lebanon
2
EA 4391, Excitabilité Nerveuse et Thérapeutique, Université Paris-Est-Créteil, 94010 Créteil, France
3
Service de Physiologie—Explorations Fonctionnelles, Hôpital Henri Mondor, Assistance Publique—Hôpitaux de Paris, 94010 Créteil, France
4
Department of Emergency Medicine, Hôtel-Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut 1104-2020, Lebanon
*
Author to whom correspondence should be addressed.
Received: 10 October 2018 / Revised: 2 November 2018 / Accepted: 9 November 2018 / Published: 12 November 2018
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Abstract

We report atypical magnetic resonance imaging (MRI) lesions in a case of Wernicke encephalopathy. The patient presented with isolated anterograde amnesia following a partial colectomy complicated by peritonitis. Fluid-attenuated inversion recovery and T2 MRI sequences were normal. However, bilateral contrast enhancement of mammillary bodies was shown on T1 gadolinium-enhanced sequences. Blood tests revealed thiamine deficiency. The diagnosis of Wernicke encephalopathy was made and thiamine supplementation was given, resulting in complete recovery of the memory functions. View Full-Text
Keywords: brain MRI; Wernicke encephalopathy; mammillary bodies; atypical Wernicke encephalopathy; memory loss; amnesia brain MRI; Wernicke encephalopathy; mammillary bodies; atypical Wernicke encephalopathy; memory loss; amnesia
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Abbas, S.A.; Abboud, H.; Chalah, M.A.; Sabbagh, C.; Ayache, S.S. Isolated Mammillary Bodies Damage—An Atypical Presentation of Wernicke Syndrome. Behav. Sci. 2018, 8, 104.

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