Korean J Ophthalmol.  2017 Aug;31(4):372-374. 10.3341/kjo.2017.0014.

Wernicke's Encephalopathy Presenting with Bilateral Complete Horizontal and Downward Gaze Palsy in a Malnourished Patient

Affiliations
  • 1Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. mmk@med.yu.ac.kr

Abstract

No abstract available.


MeSH Terms

Humans
Paralysis*
Wernicke Encephalopathy*

Figure

  • Fig. 1 Images of the patient in nine diagnostic positions of gaze, demonstrating bilateral complete horizontal and downward gaze palsy (A). Fluid attenuated inversion recovery (FLAIR) images of the brain show high signal intensity at the bilateral tegmentum of the pons (B), periaqueductal region of the midbrain (C,D), and the medial thalamus (E). Images of the patient in nine diagnostic positions of gaze, demonstrating normal ocular alignment, without any limitation, at 1 month after administration of thiamine (F).


Reference

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4. Chern JJ, Relyea K, Edmond JC, et al. Transient selective downward gaze paralysis complicating posterior fossa tumor resection in children: report of 2 cases. J Neurosurg Pediatr. 2009; 3:467–471. PMID: 19485729.
5. Kim JY, Heo DW, Lee HJ, Lee YH. A case of thiamine (vitamin B1)-deficient optic neuropathy associated with Wernicke's encephalopathy. J Korean Ophthalmol Soc. 2013; 54:1954–1959.
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