Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2014  |  Volume : 17  |  Issue : 1  |  Page : 103--105

Atypical Wernicke俟Q製 syndrome sans encephalopathy with acute bilateral vision loss due to post-chiasmatic optic tract edema


Soaham Dilip Desai1, Diva Sidharth Shah2 
1 Department of Neuromedicine, Pramukhswami Medical College and Shree Krishna Hospital, Karamsad, Anand, Gujarat, India
2 Department of Radiology, Pramukhswami Medical College and Shree Krishna Hospital, Karamsad, Anand, Gujarat, India

Correspondence Address:
Soaham Dilip Desai
Department of Neuromedicine, Pramukhswami Medical College and Shree Krishna Hospital, Karamsad, Anand - 388 325, Gujarat
India

A middle aged male presented with acute bilateral vision loss, 4 weeks after undergoing gastric bypass surgery for gastric carcinoma. He had normal sensorium, fundoscopy, normal pupillary reaction to light, but had mild opthalmoparesis and nystagmus with ataxia. Magnetic resonance imaging of the brain revealed post-chiasmatic optic tract edema along with other classical features of Wernicke俟Q製 syndrome. Thiamine supplementation leads to complete resolution of clinical as well as imaging findings. In appropriate clinical settings, a high index of suspicion and early treatment are essential for managing Wernicke俟Q製 syndrome even in patients with atypical clinical and imaging presentation.


How to cite this article:
Desai SD, Shah DS. Atypical Wernicke's syndrome sans encephalopathy with acute bilateral vision loss due to post-chiasmatic optic tract edema.Ann Indian Acad Neurol 2014;17:103-105


How to cite this URL:
Desai SD, Shah DS. Atypical Wernicke's syndrome sans encephalopathy with acute bilateral vision loss due to post-chiasmatic optic tract edema. Ann Indian Acad Neurol [serial online] 2014 [cited 2021 Apr 13 ];17:103-105
Available from: https://www.annalsofian.org/article.asp?issn=0972-2327;year=2014;volume=17;issue=1;spage=103;epage=105;aulast=Desai;type=0