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KMID : 0861220140160010027
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Journal of the Korean Society Clinical Neurophysiology
2014 Volume.16 No. 1 p.27 ~ p.31
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A Case of Wernicke’s Encephalopathy Presenting as Acute Bilateral Wrist Drop
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Kim Do-Hyung
Oh Sun-Young
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Abstract
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Thiamine deficiency can cause peripheral polyneuropathy and Wernicke’s encephalopathy. Wernicke’s encephalopathy is characterized by ataxia, ophthalmoplegia, nystagmus, and confusion, and typically presents acute and rapidly progressive course, whereas peripheral neuropathy associated with thiamine deficiency manifests chronic and slowly progressive one. However, acute and rapidly progressive axonal polyneuropathy combined with Wernicke’s encephalopathy is quite rare and unusual. Here, we describe a patient with Wernicke’s encephalopathy who presented with acute bilateral axonal neuropathy.
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KEYWORD
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Wernicke’s encephalopathy, Acute axonal polyneuropathy, Thiamine
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