Can wernicke's encephalopathy thiamine deficiency lesions look like multiple sclerosis lesions?

I was diagnosed with ms 4 years ago after months of not eating and 3 weeks of vomiting I had a bout of double vision. Mri revealed multiple lesions.

good question, glad you asked. Wernicke's and Ms are completely two different animals. Wernicke is casued by long tern and chronic alocholism. It does not lead to brain lesions per se, but leads to atrophy in the brain and yes you are right, one of the chief reasons is long standing thiamine deficiencey. MS lesions are rare, but can occur. But again, they will appear as atropied areas of the brain as this is an immune disease which casues generalized wasting of the cels. The facto that you are having double vision makes me wonder if you have a carcinoma somethere. Good luck!!

The symptoms of MS and Wernickes Encephalopathy are not similar:

Wernickes:
acute mental confusion
ataxia
ophthalmoplegia
possible confabulation (with korsaoffs)

MS:
optic neuritis
transverse myelitis
internuclear ophthalmoplegia
paresthesias

Also, an important thing to remember is that a brain MRI rarely shows changes in the tissue of the brain indicating Wernicke-Korsakoff syndrome.

Fred took the words right out my mouth..er, keyboard. As to the multiple lzs, there may be something else going on and it doesn't sound promising. Be sure to keep your follow up appointments and speak to your physician about the findings.