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Korsakoff MRI — RACP Adult Medicine MCQ

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ModerateNeurologyKorsakoff MRIRACP Adult Medicine

A 50-year-old man with chronic alcohol abstinent 3 months. MRI brain: symmetrical medial thalamic T2 abnormality. Diagnosis?

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Correct answer: BWernicke/Korsakoff syndrome

Bilateral medial thalami T2 signal = Wernicke (acute) or Korsakoff (chronic) from thiamine deficiency. Can persist even after alcohol cessation if nutrition inadequate.

Reference: eTG – 2025 – Neurology