Gadolinium-enhanced MR findings in a pediatric case of Wernicke encephalopathy.
This report describes the postcontrast MR findings of Wernicke encephalopathy seen in a malnourished 11-year-old boy. The examination showed increased signal on T2-weighted images in the periaqueductal gray matter and medial thalami. On T1-weighted acquisition, these areas showed decreased signal intensity, but on postcontrast T1-weighted examination, they showed moderately intense enhancement. Also noted on the postcontrast examination was mamillary body enhancement.
Harter
S B
SB
Department of Radiology, Baptist Medical Center, Little Rock, Ark, USA.
Nokes
S R
SR
D001921:Brain / Q000473:pathology; D002648:Child; D003287:Contrast Media; D004038:Diet, Reducing / Q000009:adverse effects; D004338:Drug Combinations; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008536:Meglumine; D009765:Obesity / Q000178:diet therapy; D009942:Organometallic Compounds; D004369:Pentetic Acid / Q000031:analogs & derivatives; D011502:Protein-Energy Malnutrition / Q000175:diagnosis*; D013217:Starvation / Q000175:diagnosis*; D013831:Thiamine / Q000008:administration & dosage / Q000097:blood; D014899:Wernicke Encephalopathy / Q000175:diagnosis*
D003287:Contrast Media; D004338:Drug Combinations; D009942:Organometallic Compounds; D008536:Meglumine; D004369:Pentetic Acid; D019786:Gadolinium DTPA; D013831:Thiamine