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Diffusion Tensor Tractography in an Acute Wernicke Encephalopathy Patient with Cerebellar Lesion Showing Delayed Recovery of Gait Ataxia  

Shin, Hyung Woo (Department of Neurology, Kwandong University College of Medicine)
Ku, Bon D. (Department of Neurology, Kwandong University College of Medicine)
Publication Information
Dementia and Neurocognitive Disorders / v.10, no.1, 2011 , pp. 34-36 More about this Journal
Abstract
Diffusion tensor image (DTI) can provide the prognosis of the rehabilitation as well as the structural integrity of the white matter tract in acute brain lesion. We experienced a 29-yr old female Wernicke encephalopathy patient. The extensive cerebellar lesions resulted in severe gait ataxia at the early stage of the disease. However, preserved pontocerebellar tracts which were demonstrated in 3-dimensional fiber tractography using DTI may explain the delayed improvement of gait ataxia one year later. DTI can be a useful tool for the in-vivo prediction of the ataxia prognosis in the Wernicke encephalopathy patient.
Keywords
Diffusion tensor image; 3-dimensional fiber tractography; Wernicke encephalopathy;
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