|
KMID : 0361420080320040460
|
|
Journal of Korean Academy of Rehabilitation Medicine
2008 Volume.32 No. 4 p.460 ~ p.464
|
|
|
Reversible Servere Dysphagia Presenting in Wernicke’s Encephalopathy
|
|
Choi Eun-Seok
Kim Yun-Hee
Park Young-Mook
Min Ji-Hye
Cho Ye-Rim
Han Zee-A
Mok Sung-Kyun
|
|
|
Abstract
|
|
|
|
Wernicke’s encephalopathy is a relatively underestimated disorder caused by a deficiency of thiamine and manifests with a classical triad of ocular abnormalities, ataxia, and mental-status changes. Specific laboratory tests are unavailable and the disease remains a clinical diagnosis. Among paraclinical studies, magnetic resonance imaging is currently considered the most valuable method to confirm a diagnosis of Wernicke’s encephalopathy. Treatment is based on supplementation of thiamine that is administered parentally. We report a case of Wernicke’s encephalopathy that was treated with thiamine and showed the characteristic clinical findings, as well as an extremely rare symptom of severe dysphagia that improved concurrently with neurological recovery. Only a few cases of dysphagia in Wernicke’s encephalopathy have been reported worldwide.
|
|
|
KEYWORD
|
|
|
Wernicke’s encephalopathy, Dysphagia, Thiamine deficiency
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|