MR Imaging Findings in Alcoholic and Nonalcoholic Acute Wernicke’s Encephalopathy: A Review
Figure 8
Forty-year-old man with a 10-year history of alcohol abuse. T2-weighted axial image (a) showing bilateral and symmetric hyperintense signal alteration at the level of the medial portion of the thalami and single-voxel MR spectroscopy image (b) demonstrating a decreased N-acetylaspartate (NAA)/creatine (Cr) ratio, a decreased N-acetylaspartate (NAA)/choline (Cho) ratio, and a lactate (Lac) peak, represented by a negative doublet (voxel taken from the right thalamus).