INTERNAL MEDICINE * P34 * THIAMINE DOSE FOR SUSPECTED WERNICKE ENCEPHALOPATHY?
نویسندگان
چکیده
منابع مشابه
Glucose before thiamine for Wernicke encephalopathy: a literature review.
BACKGROUND The prevailing teaching in medical school curricula and in medical textbooks is that if thiamine deficiency is suspected, thiamine supplementation should be given before administering glucose. OBJECTIVE We sought to evaluate the published evidence describing the commonly held belief that thiamine supplementation must be given before glucose in hypoglycemic patients to prevent Werni...
متن کاملThiamine deficiency after bariatric surgery may lead to Wernicke encephalopathy.
Of special note are neurological complications, which manifest at 3 to 20 months after bariatric surgery and all affect patients experiencing prolonged vomiting. The neurological symptoms include chronic and subacute peripheral neuropathy, acute peripheral neuropathy, burning feet, meralgia paresthetica, myotonic syndrome, posterolateral myelopathy, and Wernicke encephalopathy [1]. Since the nu...
متن کاملWernicke ’ S Encephalopathy Revisited
Aims: A translation into English of the case history section of Carl Wernicke’s original manuscript of 1881, with a discussion on its relevance for clinicians today. Methods: A copy of Carl Wernicke’s original German text was obtained by one of the authors (CCHC) and translated into English from the old German by a professional translator. Results: The translation was subsequently agreed by nat...
متن کاملWernicke Korsakoff Encephalopathy
Carl Wernicke described first Wernicke encephalopathy in 1881. He reported a pathological clinical situation, which comprises a triad of symptoms with acute mental confusion, ataxia, and ophthalmoplegia. He described three patients, two with a story of high alcohol consumption and one patient with persistent vomiting that presented with progressive stupor and coma, progressing to death. After t...
متن کاملMagnesium deficiency: a possible cause of thiamine refractoriness in Wernicke-Korsakoff encephalopathy.
The determination of blood transketolase before and serially after thiamine administration, and the response of clinical symptomatology after thiamine are reported in two normomagnesaemic patients and one hypomagnesaemic patient with acute Wernicke-Korsakoff encephalopathy. The response of the depressed blood transketolase and the clinical symptoms was retarded in the hypomagnesaemic patient. C...
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ژورنال
عنوان ژورنال: Alcohol and Alcoholism
سال: 2011
ISSN: 0735-0414,1464-3502
DOI: 10.1093/alcalc/agr118