Serial 18F-FDG PET/CT findings in a patient with Acute Wernicke Encephalopathy.

This letter to the editor discusses the case of a 58-year-old man with Acute Wernicke Encephalopathy who underwent PET/CT imaging. The imaging revealed increased uptake in the midbrain, medial thalamus, and periaqueductal gray matter, which contrasts with previously reported decreased uptake associated with Wernicke encephalopathy. Treatment with vitamin B1 injection resulted in clinical improvement, and follow-up imaging showed decreased FDG uptake in the cerebral lesion areas. The study suggests that PET/CT can reflect glucose metabolism changes in vital organs affected by thiamine deficiency in Acute Wernicke's encephalopathy. [Extracted from the article]