Analysis reports bilateral MCP lesions associated with ataxia in malnourished individuals, suggesting Wernicke's encephalopathy as a key consideration.
Bilateral MCP lesions have a diverse etiology, ranging from treatable conditions to diseases with poor prognosis. Although uncommon, Wernicke's encephalopathy (WE) should be considered in the differential diagnosis of MCP lesions, particularly in malnourished patients or those with chronic alcoholism who present with ataxia, encephalopathy, or ocular abnormalities.
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Fukuda et al. (2025) studied this question.
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