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Bull Soc Pathol Exot ; 101(5): 402-3, 2008 Dec.
Article in French | MEDLINE | ID: mdl-19192610

ABSTRACT

The authors report 13 cases of Gayet-Wernicke's encephalopathy observed in 13 patients of a refugee population. 11 presented the classical triad: oculomotor signs, cerebral ataxia and state of confusion and in 2 patients, only 2 symptoms were noted. The etiological factors: chronic alcoholism, malnutrition, uncontrollable vomiting, HIV and tuberculosis were identified. The outcome was evaluated on the basis of the disappearance of symptoms after treatment with 500 mg of thiamine in 7 patients, 1 death and 5 patients progressed toward Korsakoff amnesic syndrome.


Subject(s)
Wernicke Encephalopathy/pathology , Alcoholism/complications , Confusion/etiology , Guinea , HIV Infections/complications , Humans , Refugees , Survival Rate , Survivors , Thiamine/therapeutic use , Tuberculosis/complications , Wernicke Encephalopathy/drug therapy , Wernicke Encephalopathy/mortality , Wernicke Encephalopathy/psychology
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