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베르니케뇌증 환자에서 발생한 지속성 연하장애

Persistent Dysphagia in a Patient with Wernicke Encephalopathy

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Wernicke encephalopathy is characterized by nystagmus, abducens and conjugate gaze palsy, gait ataxia and confusion. Persistent dysphagia in Wernicke encephalopathy was reported rarely. A 50-year-old man who was diagnosed with Wernicke encephalopathy was treated with intravenous thiamine. His clinical symptoms such as ophthalmoplegia, ataxia and confusion was improved except for severe dysphagia by thiamine replacement. We presumed that dysphagia in this patient might result from the involvement of the solitary nucleus located in the medulla oblongata around the 4 th ventricle.

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