Bariatrik cerrahi sonrası gelişen papil ödeminin eşlik ettiği Wernicke ensefalopatisi: bir olgu sunumu

Wernicke encephalopathy is an acute encephalopathy, characterized by the triad of mental confusion, ophthalmoplegia, and gait ataxia. Many reasons have been reported in etiology that may be related to insufficient intake or malabsorption thiamine. Here, we present a case Wernicke's developed after gastric bypass surgery, whose diagnosis was delayed because there no feature other than papillary edema obesity at early examination. During follow-up, patient ophthalmoplegia tetraparesis, change consciousness added. When considered diagnosis, her clinic improved progressively under high dose intravenous thiamine treatment. The fact this had edema, being obese, characteristic findings picture were obscure beginning caused delay diagnosis. This thought important as it would increase awareness uncommon encephalopathy.