Wernicke Ensefalopatisi ve Miller-Fisher Sendromunun Olgu Bağlamında Ayırıcı Tanı İncelikleri

Authors : Beyza Çitçi YALÇINKAYA, Geysu KARLIKAYA

Pages : 216-219

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Publication Date : 2013-12-01

Article Type : Other Papers

Abstract :Wernicke Encephalopathy WE is a treatable neurological disorder known since 1881 and has a high mortality and morbidity rate if left untreated. Although the classical triad of symptoms are confusion, ataxia and ophtalmoparesis, different findings such as decreased deep tendon reflexes, areflexia or weakness has been reported. Another neurological disorder, Miller Fisher Syndrome MFS has a similar triad of ataxia, ophtalmoparesis and areflexia and reports of patients who have been mistakenly diagnosed with one of the two conditions are noteworthy in the medical literature. In this report we describe a patient who was initially considered as MFS and later was diagnosed with WE. We discuss the striking similarities and differential diagnosis of WE and MFS
Keywords : Wernicke Encephalopathy, Miller Fisher Syndrome, Erythrocyte transcetolase activity, ophthalmoparesis, thiamine