側方注視方向性眼振を呈した Wernicke 脳症の1例

• 平澤 一浩

  東京医科大学耳鼻咽喉科学教室

• 小川 恭生

  東京医科大学耳鼻咽喉科学教室

• 大塚 康司

  東京医科大学耳鼻咽喉科学教室

• 稲垣 太郎

  東京医科大学耳鼻咽喉科学教室

• 鈴木 衞

  東京医科大学耳鼻咽喉科学教室

書誌事項

タイトル別名

• A case of Wernicke's encephalopathy with lateral gaze-evoked nystagmus
• A case of Wernicke^|^apos;s encephalopathy with lateral gaze-evoked nystagmus

抄録

A 53-year-old man with an esophageal ulcer, mediastinal emphysema, and diabetic ketoacidosis who was highly malnourished developed Wernicke's encephalopathy. He showed lateral gaze-evoked nystagmus and disturbance of gait. A caloric test showed bilateral canal paresis, but cervical and ocular vestibular-evoked myogenic potentials (c-VEMP, o-VEMP) were present. The brain MRI demonstrated a high intensity signal in the bilateral medial thalamic region on T2 weighted images and diffusion weighted images. These findings suggest involvement of the medial vestibular nucleus and the medial thalamic region. Thiamine was administered, but the nystagmus remained. Persisted diet lacking thiamine possibly made the brain lesion irreversible.

収録刊行物

• Ｅｑｕｉｌｉｂｒｉｕｍ　Ｒｅｓｅａｒｃｈ

  Ｅｑｕｉｌｉｂｒｉｕｍ　Ｒｅｓｅａｒｃｈ 73 (3), 139-143, 2014

  一般社団法人 日本めまい平衡医学会

キーワード

• Wernicke's encephalopathy
• gaze-evoked nystagmus
• thiamin

詳細情報

• CRID: 1390001204948628864
• NII論文ID: 130004679405
• DOI: 10.3757/jser.73.139
• ISSN: 1882577X
• ISSN: 03855716
• Web Site: https://search.jamas.or.jp/link/ui/2015097648
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可