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  • Title: Multiple cerebral metastases mimicking Wernicke's encephalopathy in a chronic alcoholic.
    Author: Yaldizli O, Wurst FM, Euler S, Willi B, Wiesbeck G.
    Journal: Alcohol Alcohol; 2006; 41(6):678-80. PubMed ID: 16914456.
    Abstract:
    AIMS: Alcohol dependent patients in withdrawal display a wide spectrum of neurological and neuropsychological symptoms that complicate diagnosis. We report the case of a 53-year-old male alcoholic with disorientation, ataxia and nystagmus in alcohol withdrawal probably due not to initial supposed Wernicke's encephalopathy (WE) but rather due to multiple cerebral metastases of a non-small cell cancer of the lung. RESULTS: The findings illustrate the importance of initially maintaining a tentative attitude toward causation of symptoms and the role of brain imaging in formulating an accurate diagnosis.
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