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Washington University Experience | METABOLIC | Wernicke Encephalopathy | 12A0 Case 12 History
Case 12 History ---- This patient was a 61 year old man with chronic (10 years) alcoholism, micronodular cirrhosis, ascites, hepatomegaly, gynecomastia, acute and chronic pancreatitis, acute and chronic esophagitis with esophageal varices (with Mallory-Weiss lesions), testicular atrophy, peripheral neuropathy, hemorrhoids and massive terminal GI hemorrhage. Neurologic autopsy reported Wernicke encephalopathy involving his mammillary bodies, Alzheimer type II astrocytes in the basal ganglia, and cerebellar vermal atrophy.
