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August 14, 2025

Dynamic progression of Wernicke encephalopathy in a gastric cancer patient: Multimodal MRI insights with arterial spin labeling perfusion imaging.

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Authors

ZLZhigang LiMQMin QiuJCJiadi Chen

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Overview

Case report details dynamic progression of wernicke encephalopathy with elevated cerebral blood flow via arterial spin labeling in a gastric cancer patient, highlighting urgent thiamin replacement needs.

Key Points

  • Wernicke encephalopathy diagnosis was confirmed despite the absence of classic triad symptoms, emphasizing diagnostic challenges.
  • Cerebral blood flow increased in brain areas relevant to wernicke encephalopathy, pinpointing arterial spin labeling's potential utility.
  • Assessment included multimodal MRI, which revealed significant lesion progression, underscoring the complexity of neuroimaging findings in high-risk cases.
  • This case illustrates the critical necessity of thiamin repletion even when classical symptoms of wernicke encephalopathy are not present.

Cite This Study

Li et al. (2025) studied this question.

synapsesocial.com/papers/68c235ccb210217d64771bfchttps://doi.org/10.1097/md.0000000000043580
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