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Alcohol and Alcoholism Advance Access published online on August 15, 2006
Alcohol and Alcoholism, doi:10.1093/alcalc/agl054
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© The Author 2006. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved
Received February 27, 2006
Revised June 15, 2006
Accepted June 15, 2006

Case Report

MULTIPLE CEREBRAL METASTASES MIMICKING WERNICKE'S ENCEPHALOPATHY IN A CHRONIC ALCOHOLIC

OZGUR YALDIZLI 1, FRIEDRICH M. WURST 1 *, SEBASTIAN EULER 1, BERENIKA WILLI 2, and GERHARD WIESBECK 1

1 Psychiatric University Clinic, University of Basel, Switzerland
2 Department of Radiology, University of Basel, Switzerland

* To whom correspondence should be addressed.
FRIEDRICH M. WURST, E-mail: friedrich.wurst{at}upkbs.ch


  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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