EURORAD ESR

Case 10871

Wernicke's encephalopathy in a case of acute pancreatitis

Author(s)
K S Sekhar, B Ashiq Zindha, S Saravanakumar, V Malathi

Department of Radiology and Imaging Sciences,
Billroth Hospitals, Chennai, India;
Email:dr_ashiqzindha@yahoo.co.in
 
Patient
male, 35 year(s)
 
 
  • Figure 1
    Contrast enhanced CT Abdomen
     

    Features of pancreatic parenchymal necrosis are seen with extensive peri-pancreatic inflammatory changes and fluid. The stomach appears displaced anteriorly.

     
    Area of Interest: Abdomen; Pancreas; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Sagittal view reveals pancreatic parenchymal necrosis, mesenteric fat stranding and significant peripancreatic fluid extending into the left anterior pararenal space. Left pleural effusion is also seen.

     
    Area of Interest: Abdomen; Pancreas; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    MRI Brain
     

    Diffusion weighted image shows symmetrical areas of restricted diffusion involving the medial aspect of bilateral thalami.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;

    T2 weighted image reveals subtle hyperintense signal involving the medial aspect of bilateral thalami symmetrically.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;

    FLAIR axial image reveals hyperintense signal in the peri-aqueductal region and in the mamillary bodies.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;

    FLAIR axial image at a higher level reveals bilateral symmetrical areas of hyperintense signal involving the medial aspect of thalami.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
  • Figure 3
    Coronal FLAIR
     

    The areas of hyperintense signal involving the medial aspect of bilateral thalami are well seen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;

    Hyperintense signal is seen in the peri-aqueductal region of the midbrain.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Ischaemia / Infarction;
     
     
Features of pancreatic parenchymal necrosis are seen with extensive peri-pancreatic inflammatory changes and fluid. The stomach appears displaced anteriorly.
 
Sagittal view reveals pancreatic parenchymal necrosis, mesenteric fat stranding and significant peripancreatic fluid extending into the left anterior pararenal space. Left pleural effusion is also seen.
 
Diffusion weighted image shows symmetrical areas of restricted diffusion involving the medial aspect of bilateral thalami.
 
T2 weighted image reveals subtle hyperintense signal involving the medial aspect of bilateral thalami symmetrically.
 
FLAIR axial image reveals hyperintense signal in the peri-aqueductal region and in the mamillary bodies.
 
FLAIR axial image at a higher level reveals bilateral symmetrical areas of hyperintense signal involving the medial aspect of thalami.
 
The areas of hyperintense signal involving the medial aspect of bilateral thalami are well seen.
 
Hyperintense signal is seen in the peri-aqueductal region of the midbrain.
 
 
 
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