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Medicentro Electrónica
On-line version ISSN 1029-3043
Abstract
RODRIGUEZ MOLINA, Dayán; SAURA CUESTA, Liliet Melissa; MENDEZ CEBALLOS, Lisandra and RODRIGUEZ REYES, Sandalio Julián. Imaging diagnosis of Wernicke - Korsakoff syndrome with Marchiafava-Bignami stigmata. Medicentro Electrónica [online]. 2023, vol.27, n.4 Epub Dec 01, 2023. ISSN 1029-3043.
Marchiafava-Bignami and Wernicke-Korsakoff diseases are considered neuropsychiatric complications caused by the chronic consumption of alcoholic beverages. They are rare encephalopathies characterized by demyelination and necrosis of the corpus callosum, with subsequent atrophy due to damage in the lower parts of the brain (thalamus and hypothalamus). We present a 29-year-old male patient with a history of alcoholism who went to the Ophthalmology consultation due to decreased vision in his right eye for a year. Simple tomography and magnetic resonance imaging with intravenous contrast of the skull were performed, observing radiological findings of Wernicke -Korsakoff syndrome (affect memory and learning) with Marchiafava-Bignami stigmata (little-known disease). Mastery of the epistemology of these diseases is necessary, because, despite the poor prognosis in its acute form, cases with good evolution are reported, if an opportune diagnosis and treatment is made.
Keywords : Wernicke encephalopathy; Marchiafava-Bignami disease; multiparametric magnetic resonance imaging; tomograhy.