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Free Content Nonalcoholic Wernicke Encephalopathy in a Pediatric Patient with a History of Medulloblastoma

A 14-year-old girl with medulloblastoma resected 3 years earlier presented with altered mental status, dysarthria, and tremors and was ultimately diagnosed with Wernicke encephalopathy. While Wernicke encephalopathy is associated with alcoholism, it is also seen in the pediatric population, in which imaging findings may be atypical. Furthermore, Wernicke encephalopathy is likely underdiagnosed in the pediatric population, particularly in high-risk groups, such as chronically ill children or children with underlying malignancy.

Keywords: ADEM = acute disseminated encephalomyelitis; Cho/Cr = choline/creatine; NAA/Cr = N-acetyl aspartate/creatine; PICU = pediatric intensive care unit

Document Type: Research Article

Publication date: 01 September 2014

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  • Neurographics is the peer-reviewed, quarterly educational journal of the American Society of Neuroradiology. The journal includes review articles as well as high-yield case reports that have been solicited from society meetings, including the annual meeting of the ASNR as well as the American Society of Spine Radiology, the American Society of Pediatric Neuroradiology, the American Society of Functional Neuroradiology, and the American Society of Head and Neck Radiology meetings. Unsolicited educational review articles and case reports are also accepted for review at the discretion of the Editor-in-Chief. Submissions focusing on a pictorial approach to educational objectives are highly encouraged. The journal is open access and available online. CME credit is offered for reading review articles and completing activity evaluations through the ASNR Education Connection website: https://www.pathlms.com/asnr
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