A Case of Acute Incomitant Esotropia Associated with Wernike's Encephalopathy
Journal of the Korean Ophthalmological Society
; : 148-153, 2015.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-45167
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
We report a case of an acute incomitant esotropia with Wernike's encephalopathy. CASESUMMARY:
A 64-year-old male visited our hospital because of diplopia lasting a week. He was a chronic alcoholic drinking two bottles of makgeolli daily and eating little for a month. He showed -2 underaction of bilateral lateral rectus muscles and 45 prism diopters of esotropia at the primary position at the first visit. He had ataxia and mild cognitive impairment. There were high signal intensities in the periaqueductal area and mammillary bodies in the brain fluid attenuated inversion recovery magnetic resonance image. He was diagnosed with Wernike's encephalopathy clinically and was immediately treated with intravenous thiamine. He showed -0.5 underaction of bilateral lateral muscles and 8 prism diopters of esotropia at the primary position 3 days after thiamine treatment.CONCLUSIONS:
Wernicke's encephalopathy is a medical emergency. If diagnosis and treatment are delayed, patients may have neurological sequelae that can lead to death. Esotropia and diplopia can be the presenting manifestations in Wernike's syndrome without other symptoms. In taking patient histories, physicians should ask about alcohol consumption and low food intake because of the possibility of acute incomitant esotropia associated with Wernicke's encephalopathy.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
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Doenças Negligenciadas
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ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
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ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
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ODS3 - Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
Problema de saúde:
Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
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Tuberculose
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Tuberculose
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Doenças do Sistema Endócrino
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Desnutrição e Deficiências Nutricionais
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Saúde Mental e Transtornos do Comportamento
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Doença dos Órgãos dos Sentidos
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Álcool
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ataxia
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Tiamina
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Encefalopatia de Wernicke
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Encéfalo
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Consumo de Bebidas Alcoólicas
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Esotropia
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Corpos Mamilares
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Diagnóstico
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Diplopia
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Ingestão de Líquidos
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
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Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2015
Tipo de documento:
Artigo