[Two cases of Wernicke's disease].
We describe the cases of two men, one of whom was a non-alcoholic 50-year-old man who had been on hunger strike for 50 days and who was admitted to hospital with dysarthria, unstable gait, disorientation, ophthalmoplegia and ataxia. The suspected diagnosis was Wernicke's encephalopathy and treatment consisted of intramuscular thiamine shots followed by oral administration of the same drug, which produced rapid symptom resolution. In both patients, magnetic resonance imaging showed bilateral and symmetrical injuries around Silvio's aqueduct and in the periventricular region of both thalami.
Hidalgo
Silvia Franco
SF
Complejo Hospitalario de Palencia, Palencia, España. silvi26pras@hotmail.com
Prieto-De-Paula
José María
JM
Martín-Serradilla
José Ignacio
JI
Fernández
Jesús Angel Simal
JA
D006801:Humans; D008297:Male; D008875:Middle Aged; D014899:Wernicke Encephalopathy / Q000175:diagnosis / Q000209:etiology / Q000628:therapy