Wernicke's encephalopathy with chorea: Neuroimaging findings
Jivago S. Sabatini1; Gustavo Leopold Schutz-Pereira2; Fabrício Feltrin3; Hélio Afonso Ghizone Teive4; Carlos Henrique Ferreira Camargo5
keywords: Wernicke's encephalopathy, thiamine deficiency, dementia, chorea, movement disorders.
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).