베르니케 뇌병증과 연관된 급성 불일치 내사시 1예

• 영문명: A Case of Acute Incomitant Esotropia Associated with Wernike’s Encephalopathy
• 발행기관: 대한안과학회
• 저자명: 황문원 문성혁,Moon Won Hwang, MD, Sung Hyuk Moon, MD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume56,number1, 148~153쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.01.15

영문 초록

Purpose: We report a case of an acute incomitant esotropia with Wernike’s encephalopathy. Case summary: A 64-year-old male visited our hospital because of diplopia lasting a week. He was a chronic alcoholic drinking two bottles of makgeolli daily and eating little for a month. He showed -2 underaction of bilateral lateral rectus muscles and 45 prism diopters of esotropia at the primary position at the first visit. He had ataxia and mild cognitive impairment. There were high signal intensities in the periaqueductal area and mammillary bodies in the brain fluid attenuated inversion recovery magnetic resonance image. He was diagnosed with Wernike’s encephalopathy clinically and was immediately treated with intravenous thiamine. He showed -0.5 underaction of bilateral lateral muscles and 8 prism diopters of esotropia at the primary position 3 days after thiamine treatment. Conclusions: Wernicke’s encephalopathy is a medical emergency. If diagnosis and treatment are delayed, patients may have neurological sequelae that can lead to death. Esotropia and diplopia can be the presenting manifestations in Wernike’s syndrome without other symptoms. In taking patient histories, physicians should ask about alcohol consumption and low food intake because of the possibility of acute incomitant esotropia associated with Wernicke’s encephalopathy. J Korean Ophthalmol Soc 2015;56(1):148-153

키워드

Incomitant esotropia, Thiamine (vitamin B1), Wernicke’s encephalopathy