Wernicke’s encephalopathy in a non-alcoholic patient with a normal blood thiamine level

Sarah B Davies, Fredrick F Joshua and Alessandro S Zagami
Med J Aust 2011; 194 (9): 483-484.

Clinical record

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  • Sarah B Davies1
  • Fredrick F Joshua1
  • Alessandro S Zagami1,2

  • 1 Prince of Wales Clinical School, University of New South Wales, Sydney, NSW.
  • 2 Institute of Neurological Sciences, Prince of Wales Hospital, Sydney, NSW.


Competing interests:

None identified.

  • 1. Luigetti M, De Paulis S, Spinelli P, et al. Teaching neuroimages: the full-blown neuroimaging of Wernicke encephalopathy. Neurology 2009; 72: e115.
  • 2. Kumar N. Neurologic presentations of nutritional deficiencies. Neurologic Clinics 2010; 28: 107-170.
  • 3. Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol 2007; 6: 442-455.
  • 4. Harper CG, Giles M, Finlay-Jones R. Clinical signs in the Wernicke–Korsakoff complex: a retrospective analysis of 131 cases diagnosed at necropsy. J Neurol Neurosurg Psychiatry 1986; 49: 341-345.
  • 5. Lindboe CF, Løberg EM. Wernicke’s encephalopathy in non-alcoholics: an autopsy study. J Neurol Sci 1989; 90: 125-129.
  • 6. Antunez E, Estruch R, Cardenal C, et al. Usefulness of CT and MR imaging in the diagnosis of acute Wernicke’s encephalopathy. AJR Am J Roentgenol 1998; 171: 1131-1137.
  • 7. Zuccoli G, Santa Cruz D, Bertolini M, et al. MR imaging findings in 56 patients with Wernicke encephalopathy: nonalcoholics may differ from alcoholics. AJNR Am J Neuroradiol 2009; 30: 171-176.
  • 8. Lockman PR, Mumper RJ, Allen DD. Evaluation of blood–brain barrier thiamine efflux using the in situ rat brain perfusion method. J Neurochem 2003; 86: 627-634.
  • 9. Thomson AD, Guerrini I, Marshall EJ. Wernicke’s encephalopathy: role of thiamine. Pract Gastroenterol 2009; XXXIII(6): 21-30.


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