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MRI Findings In Acute Wernicke's Encephalopathy, Caused By Hyperemesis Gravidarum.
J Ayub Med Coll Abbottabad. 2016 Apr-Jun; 28(2):409-410.JA

Abstract

A 25-year old pregnant female with history of confusion and drowsiness for 02 days was referred by neurophysician for MRI brain. MRI demonstrated T2W/FLAIR hyper intensities in medial thalami, periaqueductal areas with variable diffusion restriction, apparent as hyper intense signal on DWI and no signal change on ADC mapping that was typically consistent with Wernicke's encephalopathy. A high index of suspicion is necessary, as delayed or lack of treatment can lead to high morbidity and mortality.

Authors+Show Affiliations

Anwar J
Department of Radiology, Combined Military Hospital, Multan, Pakistan.
Soomro S
Department of Radiology, Combined Military Hospital, Multan, Pakistan.
Javed K
Department of Radiology, Combined Military Hospital, Multan, Pakistan.
Omer S
Department of Radiology, Combined Military Hospital, Multan, Pakistan.

MeSH

AdultBrainFemaleHumansHyperemesis GravidarumMagnetic Resonance ImagingPregnancyThiamineWernicke Encephalopathy

Pub Type(s)

Case Reports

Language

eng

PubMed ID

28718572

Citation

Anwar, Javed, et al. "MRI Findings in Acute Wernicke's Encephalopathy, Caused By Hyperemesis Gravidarum." Journal of Ayub Medical College, Abbottabad : JAMC, vol. 28, no. 2, 2016, pp. 409-410.
Anwar J, Soomro S, Javed K, et al. MRI Findings In Acute Wernicke's Encephalopathy, Caused By Hyperemesis Gravidarum. J Ayub Med Coll Abbottabad. 2016;28(2):409-410.
Anwar, J., Soomro, S., Javed, K., & Omer, S. (2016). MRI Findings In Acute Wernicke's Encephalopathy, Caused By Hyperemesis Gravidarum. Journal of Ayub Medical College, Abbottabad : JAMC, 28(2), 409-410.
Anwar J, et al. MRI Findings in Acute Wernicke's Encephalopathy, Caused By Hyperemesis Gravidarum. J Ayub Med Coll Abbottabad. 2016 Apr-Jun;28(2):409-410. PubMed PMID: 28718572.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - MRI Findings In Acute Wernicke's Encephalopathy, Caused By Hyperemesis Gravidarum. AU - Anwar,Javed, AU - Soomro,Sanaullah, AU - Javed,Koukab, AU - Omer,Saima, PY - 2017/7/19/entrez PY - 2016/4/1/pubmed PY - 2017/12/13/medline KW - Hyperemesis gravidarum KW - MRI brain KW - Wernicke’s encephalopathy SP - 409 EP - 410 JF - Journal of Ayub Medical College, Abbottabad : JAMC JO - J Ayub Med Coll Abbottabad VL - 28 IS - 2 N2 - A 25-year old pregnant female with history of confusion and drowsiness for 02 days was referred by neurophysician for MRI brain. MRI demonstrated T2W/FLAIR hyper intensities in medial thalami, periaqueductal areas with variable diffusion restriction, apparent as hyper intense signal on DWI and no signal change on ADC mapping that was typically consistent with Wernicke's encephalopathy. A high index of suspicion is necessary, as delayed or lack of treatment can lead to high morbidity and mortality. SN - 1025-9589 UR - https://www.unboundmedicine.com/medline/citation/28718572/MRI_Findings_In_Acute_Wernicke's_Encephalopathy_Caused_By_Hyperemesis_Gravidarum_ DB - PRIME DP - Unbound Medicine ER -