A Rare Case of Primary Hyperparathyroidism, Hyperemesis Gravidarum, and Wernicke Encephalopathy

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Wernicke-Korsakoff syndrome associated with hyperemesis gravidarum.

PURPOSE The authors hereby describe a case of Wernicke-Korsakoff syndrome with accompanying ocular findings that is caused by hyperernesis gravidarum. METHODS We experienced a 27-year-old female at 12 weeks of pregnancy, who visited our clinic because of weight loss, gait disturbance, decreased mentality and dizziness after prolonged vomiting for 2 months. Neurological examination demonstrate...

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Wernicke's encephalopathy in hyperemesis gravidarum.

A 20-year-old woman developed severe persistent vomiting early in pregnancy. In three months she lost 18 kg of body weight: and showed the biochemical features of mild hepatic failure. Four days after starting intravenous dextrose and insulin, she developed short-term miemory loss, confusion, ataxia, dysarthria, mild left upper motor neurone facial weakness and upbeat nystagmus. Thiamine was gi...

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Hyperemesis gravidarum complicated by Wernicke's encephalopathy.

BACKGROUND Wernicke's encephalopathy is usually associated with alcohol abuse, but can also occur with hyperemesis gravidarum. The effect of delay in thiamine replacement on fetal outcomes is unknown. We present a case of this complication. CASE A primipara with hyperemesis was admitted for mental status changes in her 14th week of pregnancy. Physical examination revealed a lethargic patient ...

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A case of acute hyperparathyroidism, with thyrotoxicosis and pancreatitis, presenting as hyperemesis gravidarum.

PRIMARY hyperparathyroidism usually has an insidious onset, presenting when genito-urinary complications have developed, with stones, nephrocalcinosis, impairment of renal function, polyuria and polydipsia; with skeleto-muscular involvement manifested as bone pains, tumours, pathological fractures or loss of energy and generalized weakness; with gastro-intestinal symptoms such as loss of appeti...

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Hyperemesis gravidarum.

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ژورنال

عنوان ژورنال: AACE Clinical Case Reports

سال: 2019

ISSN: 2376-0605

DOI: 10.4158/accr-2018-0286