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Wernicke's encephalopathy with chorea: Neuroimaging findings. 2016
Jivago S Sabatini, and
Gustavo Leopold Schutz-Pereira, and
Fabrício Feltrin, and
Hélio Afonso Ghizone Teive, and
Carlos Henrique Ferreira Camargo
MD. Neurology Service, Hospital Universitário, State University of Ponta Grossa, Paraná, Brazil.
We present a case report of motor and cognitive disorders in a 36-year-old woman with a history of twelve years of heavy alcohol abuse. The patient presented depressive symptoms over the course of one year after a loss in the family, evolving with ataxia, bradykinesia and choreiform movements. Progressive cognitive decline, sleep alterations and myalgia were also reported during the course of disease evolution. Physical examination revealed spastic paraparesis with fixed flexion of the hips and knees with important pain upon extension of these joints. Initial investigation suggested the diagnosis of thiamine deficiency by brain magnetic resonance imaging (MRI).
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