Lingual Hyperkinesia as An Initial Manifestation of WernickeÃ¢ÂÂs Encephalopathy: Evidence for Localization of Involuntary Hyperkinetic Movement of the Tongue
Won Tae Yoon*
Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Republic of Korea
- *Corresponding Author:
- Won Tae Yoon
M.D, Department of Neurology, Kangbuk
Samsung Hospital, Sungkyunkwan University
School of Medicine, Republic of Korea
E-mail: [email protected]
Received Date: July 26, 2017 Accepted Date: August 11, 2017 Published Date: August 14, 2017
Citation: Yoon WT (2017) Lingual Hyperkinesia as An Initial Manifestation of Wernicke’s Encephalopathy: Evidence for Localization of Involuntary Hyperkinetic Movement of the Tongue. J Neurol Disord 5: 360. doi:10.4172/2329-6895.1000360
Copyright: © 2017 Yoon WT. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Movement disorders caused by Wernicke’s encephalopathy (WE) are very rarely reported, and involuntary hyperkinesia of the tongue as an initial manifestation of WE have not yet been reported. The study aimed to investigate the path mechanism and localization of involuntary lingual movement symptoms.
Methods: We present a patient with lingual hyperkinesia as an initial manifestation of WE, who had lesions of the periaqueductal area of the midbrain tectum and bilaterally medial thalami in Brain MRI. Patient’s lingual symptoms were observed and analyzed sequentially for localization of involuntary hyperkinetic movement of the tongue.
Results: Lingual hyperkinesia symptoms of the patient diagnosed in WE, occurred in advance and were more earlier improved by thiamine treatment before other brainstem symptoms.
Conclusion: The clinical and neuro-radiological results discussed here may provide support for the localization of lingual hyperkinetic movement disorders. In addition to brainstem lesion, thalamic lesion should be considered in cases of acute or subacute-onset, involuntary hyperkinetic movement of the tongue.