Acute Bilateral Deafness as the First Symptom of Wernicke Encephalopathy: Fig 1.

Zhang, S.-Q.; Guan, Yangtai

doi:10.3174/ajnr.a3040

Cited by 16 publications

(15 citation statements)

References 5 publications

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“…described a male with reversible sensorineural hearing loss due to severe malnutrition in the setting of acute pancreatitis. Magnetic resonance imaging findings showed bilateral inferior and superior colliculi, postero‐medial thalamus and inferocerebellar peduncle hyperintense signals . Although not all of these cases demonstrated lesions in the inferior colliculus, deafness has been associated with inferior colliculus lesions arising from other pathologies.…”

Section: Discussionmentioning

confidence: 98%

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Wernicke encephalopathy hearing loss and palinacousis

Nguyen

Franconi

Prentice

et al. 2019

Internal Medicine Journal

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Wernicke encephalopathy (WE) is a neurological emergency that develops in the setting of thiamine deficiency, and is characterised by symptoms of confusion, ophthalmoplegia and gait ataxia. Less recognised signs and symptoms include vestibular dysfunction, hearing impairment, peripheral neuropathy, and in severe cases, coma. This case study describes a non‐alcoholic patient, who presents with significant auditory and vestibular changes in addition to the classic symptoms of WE. This case report describes a non‐alcoholic patient who developed deafness, severe horizontal canal paresis and symptoms of palinacousis in the setting of WE as a complication of a recent gastric sleeve operation.

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Section: Discussionmentioning

confidence: 98%

“…Deafness associated with WE is rare. There have only been four cases in the literature, which report bilateral sensorineural hearing loss associated in WE, and only one case with documentation of an audiogram . Zhang et al .…”

Section: Discussionmentioning

confidence: 99%

Wernicke encephalopathy hearing loss and palinacousis

Nguyen

Franconi

Prentice

et al. 2019

Internal Medicine Journal

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“…The diagnosis of WE, when presented with atypical features, might be missed due to lack of physician's awareness. WE-associated deafness is rare [8][9][10]. Jethava and Dasanu reported a 44-year-old female who had bilateral hearing impairment secondary to WE following bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Wernicke's encephalopathy in a 16year-old girl with atypical clinical and radiological features

Lamdhade

Al-Mulla

Alroughani

2013

Journal of the Neurological Sciences

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Background. Wernicke's Encephalopathy (WE) is a clinical diagnosis with serious neurological consequences. Its occurrence is underestimated in nonalcoholics and is uncommon in adolescents. We aim to draw the attention to a rare case, which had additional clinical and radiological features. Case. A 16-year-old girl presented with three-week history of vomiting secondary to intestinal obstruction. She developed diplopia soon after hospitalization. Neurological evaluation revealed restriction of bilateral lateral recti with horizontal nystagmus, and bilateral limb dysmetria. Brain MRI was normal. She had prompt improvement to thiamine. Four months later, she presented with headache, bilateral severe deafness, and tinnitus. Clinically, she had severe sensorineural hearing loss, bilateral lateral recti paresis, and gait ataxia. CT head showed bilateral caudate nucleus hypodensities. MRI brain revealed gadolinium enhancement of mamillary bodies and vermis. She had significant improvement after IV thiamine. Headache completely resolved while the ocular movements, hearing, and tinnitus improved partially in 72 hours. Conclusions. Recurrent WE in adolescence is uncommon. Headache, tinnitus, and deafness are rare clinical features. Although MRI study shows typical features of WE, the presence of bilateral caudate nuclei hypodensities on CT scan is uncommon. Prompt treatment with thiamine is warranted in suspected cases to prevent permanent neurological sequelae.

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“…The onset of the disease can be characterized by several other findings such as cardiac failure with hypotension and tachycardia, gastrointestinal symptoms like abdominal pain and nausea, hypothermia due to the involvement of the posterior hypothalamic regions, deafness due to thalamic involvement, and epileptic seizures in case of glutamatergic hyperactivity [51–55]. …”

Section: Clinical Manifestations and Diagnosismentioning

confidence: 99%

MR Imaging Findings in Alcoholic and Nonalcoholic Acute Wernicke’s Encephalopathy: A Review

Manzo

Gennaro

Cozzolino

et al. 2014

BioMed Research International

127

138

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Wernicke's encephalopathy (WE) is a severe neurological syndrome caused by thiamine (vitamin B1) deficiency and clinically characterized by the sudden onset of mental status changes, ocular abnormalities, and ataxia. Apart from chronic alcoholism, the most common cause of WE, a lot of other conditions causing malnutrition and decreasing thiamine absorption such as gastrointestinal surgical procedures and hyperemesis gravidarum must be considered as predisposing factors. Due to its low prevalence and clinical heterogeneity, WE is often misdiagnosed, leading to persistent dysfunctions and, in some cases, to death. Nowadays, MR imaging of the brain, showing T2 and FLAIR hyperintensities in typical (thalami, mammillary bodies, tectal plate, and periaqueductal area) and atypical areas (cerebellum, cranial nerve nuclei, and cerebral cortex), is surely the most important and effective tool in the diagnostic assessment of WE. The aim of this paper is to propose a state of the art of the role of MR imaging in the early diagnosis of this complex disease.

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Acute Bilateral Deafness as the First Symptom of Wernicke Encephalopathy: Fig 1.

Cited by 16 publications

References 5 publications

Wernicke encephalopathy hearing loss and palinacousis

Wernicke encephalopathy hearing loss and palinacousis

Recurrent Wernicke's encephalopathy in a 16year-old girl with atypical clinical and radiological features

MR Imaging Findings in Alcoholic and Nonalcoholic Acute Wernicke’s Encephalopathy: A Review

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