Atypical Wernicke’s Encephalopathy with Remarkable Cerebellar Lesions on Diffusion-Weighted MRI

Abstract

Dear Sir, Typical MRI findings of Wernicke’s encephalopathy (WE) are symmetrical hyperintense lesions in the medial thalamus, mamillary body, periaqueductal gray matter, and floor of the fourth ventricle [1, 2] . We report a patient with WE who showed an unusual location of high signal lesions with extensive cerebellar involvements on diffusion-weighted MRI. WE should be considered in the differential diagnosis of high signal lesions in the cerebellum on diffusion-weighted MRI.