Journal
NEUROCRITICAL CARE
Volume 5, Issue 1, Pages 45-48Publisher
HUMANA PRESS INC
DOI: 10.1385/NCC:5:1:45
Keywords
Wernicke encephalopathy; thiamine deficiency; coma; computed tomography; magnetic resonance imaging
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Although brain magnetic resonance imaging is a more sensitive diagnostic tool in the evaluation of coma, noncontrast head computed tomography (CT) may demonstrate highly specific findings in some cases of coma. We present a case of thiamine deficiency-induced coma associated with acute necrosis of fornices documented on CT and review cardinal neuroimaging features of Wernicke encephalopathy. Acute fornices necrosis is a novel finding on head CT suggestive of thiamine deficiency.
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