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고석민(Seok-Min Go),박병선(Byoung-Sun Park),배종석(Jong-Seok Bae) 한국중독정신의학회 2006 중독정신의학 Vol.10 No.1
Wernicke encephalopathy is characterized by nystagmus, abducens and conjugate gaze palsy, gait ataxia and confusion. Persistent dysphagia in Wernicke encephalopathy was reported rarely. A 50-year-old man who was diagnosed with Wernicke encephalopathy was treated with intravenous thiamine. His clinical symptoms such as ophthalmoplegia, ataxia and confusion was improved except for severe dysphagia by thiamine replacement. We presumed that dysphagia in this patient might result from the involvement of the solitary nucleus located in the medulla oblongata around the 4 th ventricle.