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Case Reports
. 2014 Dec;4(6):511-515.
doi: 10.1212/CPJ.0000000000000072.

Hearing loss in Wernicke encephalopathy

Melissa A Walker  1 , Rodrigo Zepeda  1 , Henrietta A Afari  1 , Adam B Cohen  1
Affiliations
Case Reports

Hearing loss in Wernicke encephalopathy

Melissa A Walker et al. Neurol Clin Pract. 2014 Dec.
No abstract available

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Figures

None
Audiogram results Figure 1. Audiogram results obtained prior to initiation of thiamine therapy were consistent with moderate sensorineural hearing loss bilaterally. Speech intelligibility was maximal at 81 dB in the right ear and 84 in the left with 2% whole word scoring bilaterally while pure tone average was 40 dB in the right and 42 dB in the left.
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MRI brain Figure 2. MRI brain, 4 panes: fluid-attenuated inversion recovery (left), diffusion-weighted imaging (right). Hyperintensities (left) and corresponding diffusion restriction (right) of (A) bilateral mammillary bodies and periaqueductal region, (B) bilateral medial thalami adjacent to the third ventricle, (C) midbrain tectum involving the superior colliculi and periaqueductal region, and (D) dorsal pons in the region of the fourth ventricle.
See this image and copyright information in PMC

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