Beriberi MRI: Difference between revisions
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{{CMG}}; {{AE}} {{AIA}} | {{CMG}}; {{AE}} {{AIA}} | ||
==Overview== | ==Overview== | ||
In Wernicke-Korsakoff Syndrome patients, MRI may show some changes, including atrophy of mamillary bodies and hyperintense signals in the mesial dorsal thalami and periaqueductal grey matter. | |||
==MRI== | ==MRI== | ||
In [[Wernicke-Korsakoff syndrome|Wernicke-Korsakoff Syndrome]] patients, [[Magnetic resonance imaging|MRI]] may show the following changes <ref name="pmid29868178">{{cite journal| author=Jan K| title=Wernicke encephalopathy: (MRI) picture worth a thousand words. | journal=Oxf Med Case Reports | year= 2018 | volume= 2018 | issue= 5 | pages= omy013 | pmid=29868178 | doi=10.1093/omcr/omy013 | pmc=5965079 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29868178 }}</ref>: | |||
* Atrophy of mamillary bodies. | |||
* Hyperintense signals in the mesial dorsal thalami | |||
* Hyperintense signals in the periaqueductal grey matter | |||
* On T1 C+ MRI, contrast enhancement in the aforementioned regions. | |||
* DWI/ADC: Restricted diffusion in the same regions. | |||
* MR spectroscopy: Reduced N-acetylaspartic acid and increased [[Lactic acid|lactate]] concentrations. | |||
[[File:MRI FLAIR sequence showing hyperintense signal in the periaqueducal grey matter in Wernicke Encephalopathy.jpg|center|thumb|Selected FLAIR MRI images of the brain demonstrates hyperintensities in the periaqueductal region and the medial thalami. Case courtesy of A.Prof Frank Gaillard. <ref>https://radiopaedia.org/cases/12149">rID: 12149 </ref>]] | |||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Latest revision as of 19:42, 12 November 2019
Beriberi Microchapters |
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Beriberi MRI On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]
Overview
In Wernicke-Korsakoff Syndrome patients, MRI may show some changes, including atrophy of mamillary bodies and hyperintense signals in the mesial dorsal thalami and periaqueductal grey matter.
MRI
In Wernicke-Korsakoff Syndrome patients, MRI may show the following changes [1]:
- Atrophy of mamillary bodies.
- Hyperintense signals in the mesial dorsal thalami
- Hyperintense signals in the periaqueductal grey matter
- On T1 C+ MRI, contrast enhancement in the aforementioned regions.
- DWI/ADC: Restricted diffusion in the same regions.
- MR spectroscopy: Reduced N-acetylaspartic acid and increased lactate concentrations.
References
- ↑ Jan K (2018). "Wernicke encephalopathy: (MRI) picture worth a thousand words". Oxf Med Case Reports. 2018 (5): omy013. doi:10.1093/omcr/omy013. PMC 5965079. PMID 29868178.
- ↑ https://radiopaedia.org/cases/12149">rID: 12149