Optic Chiasm Involvement With Concurrent Typical Wernicke Encephalopathy MR Findings: A Case Report

Publication date: Available online 14 September 2017
Source:Current Problems in Diagnostic Radiology
Author(s): Chad J. Mackay, Vu T. Tran, Yao Chen
The variable clinical presentation of Wernicke Encephalopathy often complicates interpretation. Prompt and accurate diagnosis relies on a constellation of typical and atypical MRI findings, which are not always simultaneously present. Our case demonstrates concurrent presentation of all typical Wernicke Encephalopathy MRI findings with additional signal abnormalities involving the optic chiasm and optic tract. We suggest that optic pathway involvement may be considered among several atypical MRI manifestations, reinforcing the prompt diagnosis of the potentially life-threatening encephalopathy.



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