Wernicke's Encephalopathy following Gastrectomy in Patients with Gastric Cancer
Journal of the Korean Surgical Society
;
: 218-222, 2006.
Article
in Korean
| WPRIM
| ID: wpr-99010
ABSTRACT
Wernicke's encephalopathy is a neurological disorder that is caused by a thiamine deficiency, and characterized by acute confusion, ataxia, a change in the patient's state of mind and abnormal eye movement (op-thalmophlegia and nystag-mus). This encephalopathy can be found in patients with chronic alcoholism, anorexia nervosa, hemodialysis, AIDS and gastroplasty for morbid obesity. The diagnosis of this disease is difficult because not all cases display the typical symptoms. However, this disease can be confirmed not only by the clinical symptoms but also by the brain MRI findings, low thiamine level and clinical response to thiamine replacement therapy. We experienced two cases of Wer-nicke's encephalopathy in patients who underwent a gas-trec-tomy for gastric cancer. However, this condition was not diagnosed until the patients showed neurological symptoms and the typical MRI findings. These patients improved after vitamin B(1) (thiamine) replacement.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ataxia
/
Stomach Neoplasms
/
Thiamine
/
Thiamine Deficiency
/
Vitamins
/
Wernicke Encephalopathy
/
Obesity, Morbid
/
Brain
/
Magnetic Resonance Imaging
/
Gastroplasty
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
2006
Type:
Article
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