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The clinical and MR features of an alcoholic woman with Wernicke encephalopathy are reported.During the acute stage Gd-diethylenetriamine pentaacetic acid enhanced MR revealed damage of the blood-brain barrier bilaterally and symmetrically adjacent to the third ventricle,cerebral aqueduct,and fourth ventricle.The enhancement disappeared after successful thiamine therapy,as demonstrated in a repeat postcontrast MR 1 week later. |
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