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A Critical Case of Wernicke's Encephalopathy Induced by Hyperemesis Gravidarum / 대한구급학회지
The Korean Journal of Critical Care Medicine ; : 128-131, 2015.
Artigo em Inglês | WPRIM | ID: wpr-770860
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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ataxia / Choque / Tiamina / Deficiência de Tiamina / Hemorragia Uterina / Encefalopatia de Wernicke / Consumo de Bebidas Alcoólicas / Oftalmoplegia / Gestantes / Injúria Renal Aguda Limite: Adulto / Feminino / Humanos / Gravidez Idioma: Inglês Revista: The Korean Journal of Critical Care Medicine Ano de publicação: 2015 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ataxia / Choque / Tiamina / Deficiência de Tiamina / Hemorragia Uterina / Encefalopatia de Wernicke / Consumo de Bebidas Alcoólicas / Oftalmoplegia / Gestantes / Injúria Renal Aguda Limite: Adulto / Feminino / Humanos / Gravidez Idioma: Inglês Revista: The Korean Journal of Critical Care Medicine Ano de publicação: 2015 Tipo de documento: Artigo