Wernicke encephalopathy: unusual findings in nonalcoholic patients

J Comput Assist Tomogr. Mar-Apr 2003;27(2):235-40. doi: 10.1097/00004728-200303000-00022.


We report the unique findings on magnetic resonance imaging (MRI) in two cases of diet-related Wernicke encephalopathy (WE). There was no relation to alcohol in either case. The first patient presented with seizures and showed changes of WE on diffusion-weighted MRI with involvement of the motor strip. The second case illustrates extensive changes in the thalamus caused by WE, resulting in obstructive hydrocephalus requiring shunting.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diffusion Magnetic Resonance Imaging
  • Female
  • Humans
  • Hydrocephalus / diagnosis
  • Hydrocephalus / etiology
  • Thiamine Deficiency / complications
  • Wernicke Encephalopathy / diagnosis*
  • Wernicke Encephalopathy / etiology