A Critical Case of Wernicke's Encephalopathy Induced by Hyperemesis Gravidarum / 대한중환자의학회지
Korean Journal of Critical Care Medicine
;
: 128-131, 2015.
Article
Dans Anglais
| WPRIM
| ID: wpr-71278
ABSTRACT
Wernicke's encephalopathy is a reversible but potentially critical disease caused by thiamine deficiency. Most patients complain of symptoms such as ophthalmoplegia, ataxia and confusion. Heavy alcohol drinking is commonly associated with the disease, but other clinical conditions also can provoke it. In pregnant women, hyperemesis gravidarum can lead to the depletion of body thiamine due to poor oral intake and a high metabolic demand. We report a case of Wernicke's encephalopathy following hyperemesis gravidarum in a 36-year-old female at 20 weeks of pregnancy, who visited our hospital because of shock with vaginal bleeding. This case suggests that although the initial presentation may include atypical symptoms (e.g., shock or bleeding), Wernicke's encephalopathy should be considered, and thiamine replacement should be performed in pregnant women with neurologic symptoms and poor oral intake.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Ataxie
/
Choc
/
Thiamine
/
Carence en thiamine
/
Hémorragie utérine
/
Encéphalopathie de Gayet-Wernicke
/
Consommation d'alcool
/
Ophtalmoplégie
/
Femmes enceintes
/
Atteinte rénale aigüe
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Grossesse
langue:
Anglais
Texte intégral:
Korean Journal of Critical Care Medicine
Année:
2015
Type:
Article
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