title: Diffusion-weighted magnetic resonance imaging in Wernicke's encephalopathy.
abstract: OBJECTIVE
  To report diffusion-weighted imaging (DWI) findings and postulate the pathogenic mechanism of Wernicke's encephalopathy (WE).
  
  
  METHODS
  A 47-year-old-woman presented with altered consciousness, ophthalmoplegia, and ataxia. DWI revealed the abnormal signal changes in periaqueductal gray matter, mamillary bodies and bilateral medial thalami. Apparent diffusion coefficient (ADC) map revealed the high signal intensity lesions in bilateral medial thalami, suggestive of vasogenic edema. The abnormal signal intensity lesions disappeared on follow-up imaging with clinical improvement.
  
  
  CONCLUSIONS
  Vasogenic edema plays an important role in the pathogenesis of WE and can be reversed by proper management. DWI findings in the early stage of WE may provide useful information about the prognosis.
authors.affiliation: Department of Neurology, Ilsan Paik Hospital, Inje University College of Medicine, Gyeonggi-do, South Korea. nrhks@ilsanpaik.ac.kr
authors.forename: K S
authors.initials: KS
authors.lastname: Hong
authors.forename: D W
authors.initials: DW
authors.lastname: Kang
authors.forename: Y J
authors.initials: YJ
authors.lastname: Cho
authors.forename: Y J
authors.initials: YJ
authors.lastname: Hwang
authors.forename: G
authors.initials: G
authors.lastname: Hur
mesh_terms: D001921:Brain / Q000473:pathology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014899:Wernicke Encephalopathy / Q000473:pathology* / Q000503:physiopathology